Organization Active NPI

Dental Medical Services Inc.

Doing business as Diversified Medical Staffing, LLC

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1407115587
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DENTAL MEDICAL SERVICES INC.
Doing business as
Diversified Medical Staffing, LLC
Practice address
2025 E Beltline Ave SE
Suite 310
Grand Rapids, MI 49546-7630
Phone
(616) 942-2222
Fax
(616) 942-2228
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mr. Charles Cornelius Ferro
Title
President
Phone
(616) 942-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU

Addresses

Primary practice location

2025 E Beltline Ave SE
Suite 310
Grand Rapids, MI 49546-7630

Mailing address

2025 E Beltline Ave SE
Suite 310
Grand Rapids, MI 49546-7630
Phone (616) 942-2222

Other names 1

  • Diversified Medical Staffing, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2025 E Beltline Ave SE
Ste 310
Grand Rapids, MI 49546
Phone (269) 370-2720

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1407115587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE",
            "address_2": "SUITE 310",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467630",
            "telephone_number": "616-942-2222",
            "fax_number": "616-942-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE",
            "address_2": "SUITE 310",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467630",
            "telephone_number": "616-942-2222",
            "fax_number": "616-942-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "FERRO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CORNELIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-942-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Medical Staffing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.