Organization Active NPI

Lake Michigan Endodontics of Grand Haven PLLC

  • Endodontics
  • Grand Haven, MI
National Provider Identifier
1467195958
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC
Practice address
921 S Beechtree St Ste 6a
Grand Haven, MI 49417-2385
Phone
(616) 935-7661
Fax
(616) 935-7664
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Dr. Jeffrey Norman Dzingle, DDS, MSNPI 1730213000
Title
Owner
Phone
(616) 935-7661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

921 S Beechtree St Ste 6a
Grand Haven, MI 49417-2385

Mailing address

921 S Beechtree St Ste 6a
Grand Haven, MI 49417-2385
Phone (616) 935-7661

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address frontdeskgh@lakemichiganendo.com
Direct Messaging Address xray@lakemichiganendo.com

National Provider Directory

National Provider Directory

Locations

921 S Beechtree St
Ste 6A
Grand Haven, MI 49417
Phone (616) 935-7661

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1467195958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S BEECHTREE ST STE 6A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172385",
            "telephone_number": "616-935-7661",
            "fax_number": "616-935-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BEECHTREE ST STE 6A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172385",
            "telephone_number": "616-935-7661",
            "fax_number": "616-935-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "DZINGLE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-935-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdeskgh@lakemichiganendo.com",
            "affiliation": "N",
            "address_1": "921 S Beechtree St Ste 6A",
            "city": "Grand Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494172385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xray@lakemichiganendo.com",
            "affiliation": "N",
            "address_1": "921 S Beechtree St Ste 6A",
            "city": "Grand Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494172385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.