Organization Active NPI

Allegan Family Dentistry PC

  • Dentist
  • Allegan, MI
National Provider Identifier
1356456941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
013112 Issued in MI
Legal business name
ALLEGAN FAMILY DENTISTRY PC
Practice address
1630 M 40 North
Allegan, MI 49010-9410
Phone
(269) 673-7274
Fax
(269) 686-0347
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael George Ocallaghan, DDS
Title
Dentist President
Phone
(269) 673-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 013112 MI Primary

Addresses

Primary practice location

1630 M 40 North
Allegan, MI 49010-9410

Mailing address

1630 M 40 North
Allegan, MI 49010-9410
Phone (269) 673-7274

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356456941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 M 40 NORTH",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109410",
            "telephone_number": "269-673-7274",
            "fax_number": "269-686-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 M 40 NORTH",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109410",
            "telephone_number": "269-673-7274",
            "fax_number": "269-686-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGAN FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCALLAGHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "269-673-7274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "013112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.