Portage Northern Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PORTAGE NORTHERN DENTAL

Practice address

1220 W Milham Ave
Portage, MI 49024-1206

Phone

(269) 382-5040

NPI assigned

Jan 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renee Heise

Title

Insurance Specialist

Phone

(231) 246-2204

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher John Sortman, DDS

  • General Practice Dentistry
  • Norton Shores, MI
  • NPI 1528051570
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1295486512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241206",
            "telephone_number": "269-382-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241206",
            "telephone_number": "269-382-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE NORTHERN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "231-246-2204"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portage Family Dentistry PLLC
• Portage Family Healing LLC
• Portage Family Vision Care, PC
• Portage Family Vision Care, PC
• Portage Life Coaching and Counseling LLP
• Portage Opco, LLC
• Portage Pediatric Dentistry PLC
• Portage Pharmacy, Inc.
• Portage Podiatry PC
• Maria Portal Caballero

• Dental Clinic/Center in Portage, MI
• Providers in Portage, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.