Root Canal Specialists North, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ROOT CANAL SPECIALISTS NORTH, PLLC

Practice address

4355 Sawkaw Dr. NE
Grand Rapids, MI 49525-1768

Phone

(616) 361-6609

Fax

(616) 361-6248

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Kemper, D.M.D

Title

Endodontics/C.F.O.

Phone

(616) 361-6609

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey P. Halvorson, D.D.S, M.S.

  • Endodontics
  • Grand Rapids, MI
  • NPI 1760403521
  NPD (past)
• Michael W. Hembrough, D.D.S., M.S.

  • Endodontics
  • Grand Rapids, MI
  • NPI 1578584330
  NPD (past)
• Connie Yoon Winegar, DDS, MSD

  • Endodontics
  • Grand Rapids, MI
  • NPI 1770112419
  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1316667462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 SAWKAW DR. NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251768",
            "telephone_number": "616-361-6609",
            "fax_number": "616-361-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 SAWKAW DR. NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251768",
            "telephone_number": "616-361-6609",
            "fax_number": "616-361-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT CANAL SPECIALISTS NORTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ENDODONTICS/C.F.O.",
        "authorized_official_telephone_number": "616-361-6609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Roosien, RD
• Christy Rae Roossien, NP
• Kylie Roossien
• Soheila Roossien, NP
• Root and Bloom Wellness LLC
• Lindsey M Root-Luna, PH.D.
• Andrea Elizabeth Root
• Katherine Root, COTA
• Kenneth D Root, PA-C
• Mariah Elizabeth Ann Root, LMSW, LCSW

• Endodontics in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.