Keweenaw Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KEWEENAW DENTAL

Practice address

725 Cedar Bluff Dr
Houghton, MI 49931-1959

Phone

(906) 482-2020

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Lori Niemi

Title

Office Manager

Phone

(906) 482-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Jane Summersett, DDS

  • General Practice Dentistry
  • Houghton, MI
  • NPI 1093165060
  NPD
• Jamie Bauer-Lockhart, RDH

  • Dental Hygienist
  • Ontonagon, MI
  • NPI 1336642628
  NPD (past)
• Rick Lee Kavorik, DDS

  • General Practice Dentistry
  • Houghton, MI
  • NPI 1922175959
  NPD (past)
• Brittany Turin

  • Dental Hygienist
  • Ontonagon, MI
  • NPI 1265935563
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1407473556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CEDAR BLUFF DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CEDAR BLUFF DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311959",
            "telephone_number": "906-482-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWEENAW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "NIEMI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "906-482-2020"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Kangas
• Rick Lee Kavorik, DDS
• Deborah Ann Kemppainen, R.N.
• Annette Kristiin Keranen, PTA
• Keweenaw Counseling Services PLLC
• Angela Kilpela
• Gary Kilpela, PSY.D.
• Kristi K Kirkpatrick, LMT MASSAGETHERAPIST
• Angela Knapp
• Lilliana Guzman Kostinski, D.D.S.

• Dental Clinic/Center in Houghton, MI
• Providers in Houghton, 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 Jul 6, 2020; 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.