Organization Active NPI

Paul Creason DDS Family Oral Healthcare

  • Dental Clinic/Center
  • Grand Haven, MI
National Provider Identifier
1366299208
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PAUL CREASON DDS FAMILY ORAL HEALTHCARE
Practice address
921 S Beechtree St Ste 6B
Grand Haven, MI 49417-2385
Phone
(616) 844-6900
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Paul Creason, DDSNPI 1134283484
Title
Dentist/Business Owner
Phone
(616) 844-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

921 S Beechtree St Ste 6B
Grand Haven, MI 49417-2385

Mailing address

921 S Beechtree St Ste 6B
Grand Haven, MI 49417-2385
Phone (616) 844-6900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1366299208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S BEECHTREE ST STE 6B",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172385",
            "telephone_number": "616-844-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BEECHTREE ST STE 6B",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172385",
            "telephone_number": "616-844-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL CREASON DDS FAMILY ORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "CREASON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "616-844-6900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.