Organization Active NPI

Cmbi3 PLLC

Doing business as Grand Haven Pediatric Dentistry

  • Pediatric Dentistry
  • Grand Haven, MI
National Provider Identifier
1548120405
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CMBI3 PLLC
Doing business as
Grand Haven Pediatric Dentistry
Practice address
801 S Beacon Blvd
Grand Haven, MI 49417-2149
Phone
(616) 535-0977
Fax
(616) 535-0978
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Annika Schott
Title
Regional Manager
Phone
(616) 931-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

801 S Beacon Blvd
Grand Haven, MI 49417-2149

Mailing address

801 S Beacon Blvd
Grand Haven, MI 49417-2149
Phone (616) 535-0977

Other names 1

  • Grand Haven Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

801 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 215-0145

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1548120405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172149",
            "telephone_number": "616-535-0977",
            "fax_number": "616-535-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172149",
            "telephone_number": "616-535-0977",
            "fax_number": "616-535-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMBI3 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHOTT",
        "authorized_official_first_name": "ANNIKA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "616-931-3411"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Haven Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.