NPIMap

Organization Active NPI

Lake Michigan Family Dental, PLLC

  • Dental Clinic/Center
  • Norton Shores, MI
National Provider Identifier
1497536981
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAKE MICHIGAN FAMILY DENTAL, PLLC
Practice address
939 E Pontaluna Rd
Norton Shores, MI 49444-9778
Phone
(231) 798-9911
Fax
(231) 799-9580
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Jacob Streng, DDSNPI 1780034298
Title
President
Phone
(231) 798-9911

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

939 E Pontaluna Rd
Norton Shores, MI 49444-9778

Mailing address

939 E Pontaluna Rd
Norton Shores, MI 49444-9778
Phone (231) 798-9911

Other names 1

  • Lake Michigan Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

939 E Pontaluna Rd
Norton Shores, MI 49444
Phone (231) 798-9911

Practitioners & affiliated clinicians

Practitioners 2

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1497536981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 E PONTALUNA RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449778",
            "telephone_number": "231-798-9911",
            "fax_number": "231-799-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 E PONTALUNA RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449778",
            "telephone_number": "231-798-9911",
            "fax_number": "231-799-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MICHIGAN FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "STRENG",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-798-9911",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Michigan Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.