Mi Smiles Dental Grand Rapids SE PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MI SMILES DENTAL GRAND RAPIDS SE PLC

Practice address

2100 Raybrook St SE Ste 106
Grand Rapids, MI 49546-5783

Phone

(616) 942-2870

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Laura Rogers

Title

Director of Finance

Phone

(616) 379-4013

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter J. Zwier, DDS, MAGD

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1073601027
  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1386314896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 CENTRAL BLVD",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 106",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465783",
            "telephone_number": "616-942-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI SMILES DENTAL GRAND RAPIDS SE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "616-379-4013"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MFB Professional Services Inc
• MH Health Care Services, PC
• Shema Mhajabin
• Mi Professional Counseling Services PLLC
• Mi Smiles Dental Cascade PLC
• Mi Street Orthopedic Specialists PC
• William Mi
• Tayaba Miah, MD
• Christopher J Mianecki, D.O.
• Patricia E Miarka, ST

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, 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 Sep 16, 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.