Orthodontic Specialists of Mid-Michigan, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHODONTIC SPECIALISTS OF MID-MICHIGAN, PC

Practice address

1040 Charlevoix Drive
Ste, C
Grand Ledge, MI 48837

Phone

(517) 627-7600

NPI assigned

May 11, 2007

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Hudson

Title

Practice Manager

Phone

(517) 627-7600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1467667790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CHARLEVOIX DRIVE",
            "address_2": "STE C",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "48837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CHARLEVOIX DRIVE",
            "address_2": "STE, C",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "48837",
            "telephone_number": "517-627-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS OF MID-MICHIGAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "517-627-7600"
    },
    "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": []
}

• Allison Morrison, PT, DPT
• Kyle Anthony Mulder, DDS
• Cynthia Denise Munro, NP
• Quan D Nguyen, MD
• Nancy Novakoski, OTR
• Ouderkirk Dental PLLC
• Evan David Ouderkirk, DDS
• Elizabeth Paine, D.O
• Erin Parcell, LPC
• Mindy Parshall

• Orthodontics and Dentofacial Orthopedics Dentistry in Grand Ledge, MI
• Providers in Grand Ledge, 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 Aug 29, 2013; 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.