Individual provider Active NPI

Christopher John Sortman, DDS

  • General Practice Dentistry
  • Norton Shores, MI
National Provider Identifier
1528051570
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018853 Issued in MI
Practice address
6123 Harvey St
Norton Shores, MI 49444-6728
Phone
(231) 865-6945
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018853 MI Primary

Addresses

Primary practice location

6123 Harvey St
Norton Shores, MI 49444-6728

Mailing address

6123 Harvey St
Norton Shores, MI 49444-6728
Phone (231) 865-6945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103002311 MI Order and Referring Only - DentistPractitioner - Dentist 6103104682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018853MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Northern Dental Current Accepting new patients
Kzoo Family Dental P.C. Current Accepting new patients
Modern Family Dental PC General Practice Current Accepting new patients
Splendent Implant Center PastSince Feb 25, 2018 Accepting new patients
Christopher Sortman, DDS, P.C. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1528051570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 HARVEY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494446728",
            "telephone_number": "231-865-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 HARVEY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494446728",
            "telephone_number": "231-865-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORTMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.