Michigan Dentists PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHIGAN DENTISTS PLLC

Practice address

2641 Shirley Dr
Jackson, MI 49201-8633

Phone

(517) 787-5367

NPI assigned

Jul 23, 2020

Last updated

Jan 25, 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

Cheryl Notten

Title

Office Manager

Phone

(517) 787-5367

Specialties & licenses 2

Addresses

Other identifiers 3

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.

• Firas Wafiq Belbeisi, D.D.S.

  • Dentist
  • Jackson, MI
  • NPI 1952617284
  NPD (past)
• Daryl Frederick, DDS

  • Dentist
  • Jackson, MI
  • NPI 1033548474
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1376152504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018633",
            "telephone_number": "517-787-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018633",
            "telephone_number": "517-787-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "NOTTEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-787-5367"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANISH GUPTA",
            "identifier": "1518251230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDWIN KWON",
            "identifier": "1295090611",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRAS BELBEISI",
            "identifier": "1952617284",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Donald Allen Michael, LLMSW, OTR/L
• Jennifer Michael, MA TLLP
• Michigan Continuum Care PLLC
• Michigan Family Chiropractic-Jackson
• Michigan Family Practice, LLC
• Michigan Institute of Neurological Diseases, PLLC (Michigan Mind)
• Michigan Sleep Diagnostic Center, LLC
• Michigan Visiting Care

• General Practice Dentistry in Jackson, MI
• Providers in Jackson, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.