Smile North Muskegon PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

SMILE NORTH MUSKEGON PC

Practice address

1915 Holton Rd Ste C
North Muskegon, MI 49445-1533

Phone

(231) 719-0033

NPI assigned

Oct 23, 2018

Last updated

Jun 16, 2020By 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

Lisa Papes

Title

Practice Operations

Phone

(616) 268-2092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1508332032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COLUMBUS AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171224",
            "telephone_number": "616-268-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HOLTON RD STE C",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494451533",
            "telephone_number": "231-719-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE NORTH MUSKEGON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "PAPES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "616-268-2092"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Anne Saum, NURSE PRACTITIONER
• William F Seieroe, D.C.
• Sharon Rubick (Medical Tec-Tronics LLC)
• Shoreline Ophthalmology, PLLC
• Shoreline Optical, LLC (Shoreline Optical)
• Charles O Somers, RPH
• Bethanie Grace Swier, NBC-HWC
• True You Coaching and Counseling
• Lynne Twining
• Angela Renee Vander Wall

• Public Health Dentistry in North Muskegon, MI
• Providers in North Muskegon, MI by specialty
• Public Health Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.