Central Michigan Family Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CENTRAL MICHIGAN FAMILY DENTISTRY, PLLC

Doing business as

Dr. Derrek Henrie

Practice address

1110 E Broomfield St
Mount Pleasant, MI 48858-4437

Phone

(989) 772-4581

NPI assigned

May 18, 2022

Last updated

May 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derrek Henrie, DDSNPI 1720146418

Title

Dentist

Phone

(989) 772-4581

Specialties & licenses 1

Addresses

Other names 1

• Dr. Derrek Henrie Doing business as

Practitioners 1

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.

• Derrek Henrie, DDS

  • General Practice Dentistry
  • Mt Pleasant, MI
  • NPI 1720146418
  NPD Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1568109726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584437",
            "telephone_number": "989-772-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584437",
            "telephone_number": "989-772-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "HENRIE",
        "authorized_official_first_name": "DERREK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "989-772-4581",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Derrek Henrie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Central Michigan Community Hospital Radiation Oncology
• Central Michigan Community Hospital Radiation Oncology
• Central Michigan District Health Department
• Central Michigan Family Chiropractic Clinic PLC
• Central Michigan Guardianship Incorporated
• Central Michigan Hand Therapy LLC
• Central Michigan Headache and Neurology PC
• Central Michigan Non Profit Housing
• Central Michigan Professional Counseling Associates

• Dental Clinic/Center in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.