NPIMap

Organization Active NPI

Dan F. Soenen, D.D.S., P.C.

Doing business as Birch Street Dental Care

  • General Practice Dentistry
  • Kalkaska, MI
National Provider Identifier
1548437841
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11864 Issued in MI
Legal business name
DAN F. SOENEN, D.D.S., P.C.
Doing business as
Birch Street Dental Care
Practice address
508 N Birch St
Kalkaska, MI 49646-8414
Phone
(231) 258-5395
Fax
(231) 258-8010
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
Debbie Jenkins
Title
Office Manager
Phone
(231) 258-5395

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11864 MI Primary
General Practice Dentistry 1223G0001X 11219 MI

Addresses

Primary practice location

508 N Birch St
Kalkaska, MI 49646-8414

Mailing address

508 N Birch St
Kalkaska, MI 49646-8414
Phone (231) 258-5395

Other names 1

  • Birch Street Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

508 N Birch St
Kalkaska, MI 49646
Phone (231) 242-3755

Practitioners & affiliated clinicians

Practitioners 5

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": "1548437841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N BIRCH ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468414",
            "telephone_number": "231-258-5395",
            "fax_number": "231-258-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N BIRCH ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468414",
            "telephone_number": "231-258-5395",
            "fax_number": "231-258-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN F. SOENEN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-258-5395"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11864",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Street Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalkaska, 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.