Mitten Kids Orthodontics PLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MITTEN KIDS ORTHODONTICS PLC

Practice address

1179 E Paris Ave SE Ste 130
Grand Rapids, MI 49546-3682

Phone

(616) 942-9840

Fax

(616) 942-9701

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Brett Kingma, DDS

Title

Member

Phone

(616) 942-9840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1386415651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 E PARIS AVE SE STE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463682",
            "telephone_number": "616-942-9840",
            "fax_number": "616-942-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 E PARIS AVE SE STE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463682",
            "telephone_number": "616-942-9840",
            "fax_number": "616-942-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTEN KIDS ORTHODONTICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "KINGMA",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-942-9840",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genieve Mitrano
• Erica Rose Mitschke
• Rohin Mittal, M.D.
• Silas Mittelstaedt
• Mitten Kids Dentistry Cascade PLC
• Mitten State Pediatric Therapy LLC
• Mitus-Rosendall D.D.S.
• Ariel Tajour Mitz
• Miway Home Care
• Abbey Mix

• Orthodontics and Dentofacial Orthopedics Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.