NPIMap

Organization Active NPI

Dr. Karen N Clister DDS PC

Doing business as CARE Dentistry

  • Dentist
  • Benton Harbor, MI
National Provider Identifier
1538336797
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14250 Issued in MI
Legal business name
DR. KAREN N CLISTER DDS PC
Doing business as
CARE Dentistry
Practice address
1220 E Napier Ave
Benton Harbor, MI 49022-3900
Phone
(269) 925-2113
Fax
(269) 925-2191
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Karen N Clister, DDSNPI 1831180355
Title
Owner/Dentist
Phone
(269) 925-2113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14250 MI Primary

Addresses

Primary practice location

1220 E Napier Ave
Benton Harbor, MI 49022-3900

Mailing address

1220 E Napier Ave
Benton Harbor, MI 49022-3900
Phone (269) 925-2113

Other identifiers 1

IdentifierTypeStateIssuer
4230680MedicaidMI

Other names 1

  • CARE Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1220 E Napier Ave
Benton Harbor, MI 49022
Phone (269) 925-2113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1538336797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E NAPIER AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223900",
            "telephone_number": "269-925-2113",
            "fax_number": "269-925-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E NAPIER AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223900",
            "telephone_number": "269-925-2113",
            "fax_number": "269-925-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KAREN N CLISTER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CLISTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "269-925-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4230680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.