Active NPI
Cmbi3 PLLC
Doing business as Grand Haven Pediatric Dentistry
- Pediatric Dentistry
- Grand Haven, MI
National Provider Identifier
1548120405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Christian Haven Home
- Anna Eileen Ciarlino, ATC
- Sydney Tressler Cinal, DDS
- Clarity Health Services (Comprehensive Ear and Hearing of Grand Haven)
- Julie Clark, MSPT
- Mary L Cole, RD
- Comforcare Senior Services - Grand Haven
- Compassionate Christian Therapy, LLC
- Confidence Beyond Hair Loss
- Theresa Conlin, OT
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.