Individual provider Active NPI

John W Garlick, D.D.S.

  • General Practice Dentistry
  • Big Rapids, MI
National Provider Identifier
1336214089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901011558 Issued in MI
Practice address
229 S Warren Ave
Big Rapids, MI 49307-1845
Phone
(231) 796-8181
Fax
(231) 796-1736
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901011558 MI Primary

Addresses

Primary practice location

229 S Warren Ave
Big Rapids, MI 49307-1845

Mailing address

700 Winter Ave
Big Rapids, MI 49307-2444
Phone (231) 796-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160901001269 MI Order and Referring Only - DentistPractitioner - Dentist 0042506982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901011558MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John Garlick D.D.S., P.C. CurrentSince Oct 11, 2020 Accepting new patients

Locations

229 S Warren Ave
Big Rapids, MI 49307
Phone (231) 796-8181

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336214089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WINTER AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072444",
            "telephone_number": "231-796-8181",
            "fax_number": "231-796-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S WARREN AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071845",
            "telephone_number": "231-796-8181",
            "fax_number": "231-796-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICK",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.