Sparta Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPARTA FAMILY DENTISTRY PLLC

Practice address

343 S State St
Sparta, MI 49345-1731

Phone

(616) 887-0131

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Austin Goodyke, DDSNPI 1831718527

Title

Dentist/Owner

Phone

(616) 550-5637

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Austin Goodyke, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1831718527
  NPD Authorized official
• Stephen Nicholas Watkins, DDS

  • General Practice Dentistry
  • Sparta, MI
  • NPI 1801938543
  NPD (past)

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1497493258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 S STATE ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451731",
            "telephone_number": "616-887-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S STATE ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451731",
            "telephone_number": "616-887-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "GOODYKE",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "616-550-5637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Scott, RPH,CGP
• Serenity Wellness PLC
• Sharon L Siefert, M.D
• Jane River Sky, RN
• Sparta Dental Care, PLLC
• Sparta Optometry PC
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Spectrum Health Medical Group)

• Dental Clinic/Center in Sparta, MI
• Providers in Sparta, 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 May 23, 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.