Jativa Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JATIVA FAMILY DENTAL

Practice address

147 W Michigan Ave
Clinton, MI 49236-9577

Phone

(517) 456-7471

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By 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

Mrs. Marcy Sosko

Title

Front Office

Phone

(517) 456-7471

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Wendy A. Jativa, D.D.S, M.S

  • Dentist
  • Clinton, MI
  • NPI 1790976884
  NPD
• Jan Michael Rizzo, D.D.S.

  • General Practice Dentistry
  • Clinton, MI
  • NPI 1689613895
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1376124552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492360549",
            "telephone_number": "517-456-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W MICHIGAN AVE",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369577",
            "telephone_number": "517-456-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JATIVA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "SOSKO",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "517-456-7471",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iha Health Services Corporation (Trinity Health IHA Medical Group Primary Care Clinton)
• Iha Health Services Corporation (IHA Clinton Primary Care)
• Courtney Iwanicki, MS, RD, CSP
• James T. Sheneman, D.C., PLLC
• Jan M Rizzo DDS PC
• Wendy A. Jativa, D.D.S, M.S
• Dennis Richard Kaechele, D.D.S.,M.S.
• Meghan Kelly, A.T.C.
• Kosmyna Chiropractic Life Center PC
• Thomas Steven Kosmyna, DC

• Dental Clinic/Center in Clinton, MI
• Providers in Clinton, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.