Organization Active NPI

Trinity Dental PC

  • General Practice Dentistry
  • Whitehall, MI
National Provider Identifier
1346545811
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019459 Issued in MI
Legal business name
TRINITY DENTAL PC
Practice address
116 W Colby St
Ste 1
Whitehall, MI 49461-1083
Phone
(231) 893-2915
NPI assigned
Jan 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Mrs. Ann Claire Achey
Title
Business MGR
Phone
(231) 893-2915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019459 MI Primary

Addresses

Primary practice location

116 W Colby St
Ste 1
Whitehall, MI 49461-1083

Mailing address

116 W Colby St
Ste 1
Whitehall, MI 49461-1083
Phone (231) 893-2915

Other identifiers 1

IdentifierTypeStateIssuer
019459OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

116 W Colby St
Ste 1
Whitehall, MI 49461
Phone (231) 893-2915

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1346545811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST",
            "address_2": "STE 1",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611083",
            "telephone_number": "231-893-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST",
            "address_2": "STE 1",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611083",
            "telephone_number": "231-893-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "ACHEY",
        "authorized_official_first_name": "ANN CLAIRE",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "231-893-2915",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "019459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "019459",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.