Felipe Porto, DDS, MS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901600733 Issued in MI

Practice address

4320 44TH St SW Ste 101
Grandville, MI 49418-2300

Phone

(616) 743-6569

NPI assigned

Jan 24, 2011

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• University Medical Associates of the Medical University of South Carol

  dba MUSC Physicians

  • Multi-Specialty Clinic/Center
  • Charleston, SC
  • NPI 1043241110
  Medicare reassignment NPD
• Enjoy Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grandville, MI
  • NPI 1881459782
  NPD Authorized official
• Porto Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Holland, MI
  • NPI 1376362541
  NPD Authorized official
• University Medical Associates of the Medical University of South Carol

  dba MUSC PHysicians

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1982678496
  NPD

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1538464482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 44TH ST SW STE 101",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182300",
            "telephone_number": "616-743-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 44TH ST SW STE 101",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182300",
            "telephone_number": "616-743-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 S Beechtree St",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172839",
            "country_code": "US",
            "telephone_number": "616-850-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTO",
        "first_name": "FELIPE",
        "credential": "DDS, MS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901600733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Joy Plaster
• Quincee Rose Pohl
• Kayla Poll
• Darcy Porter, LLPC
• Makayla Jo Porter, OD
• Shelby Lynn Potter
• James M Pouillon, DPM
• Hailey Powers, LMSW
• Alec Presley
• Prevos Family Markets LLC (Family Fare Pharmacy #1579)

• Orthodontics and Dentofacial Orthopedics Dentistry in Grandville, MI
• Providers in Grandville, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.