NPIMap

Organization Active NPI

North Shore Periodontics and Dental Implants

  • Periodontics
  • Cadillac, MI
National Provider Identifier
1548436736
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
15581 Issued in MI
Legal business name
NORTH SHORE PERIODONTICS AND DENTAL IMPLANTS
Practice address
8865 Professional Dr
Suite a
Cadillac, MI 49601-8424
Phone
(231) 775-6321
Fax
(231) 775-0552
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Joseph Amalfitano, DDSNPI 1548305758
Title
Owner
Phone
(231) 775-6321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 15581 MI Primary

Addresses

Primary practice location

8865 Professional Dr
Suite a
Cadillac, MI 49601-8424

Mailing address

8865 Professional Dr
Cadillac, MI 49601-8424
Phone (231) 775-6321

National Provider Directory

National Provider Directory

Locations

8865 Professional Dr
Ste A
Cadillac, MI 49601
Phone (231) 775-6321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1548436736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 PROFESSIONAL DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018424",
            "telephone_number": "231-775-6321",
            "fax_number": "231-775-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 PROFESSIONAL DR",
            "address_2": "SUITE A",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018424",
            "telephone_number": "231-775-6321",
            "fax_number": "231-775-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PERIODONTICS AND DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "AMALFITANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-775-6321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "15581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.