NPIMap

Organization Active NPI

Susan M. Dennis, D.D.S.

  • Dentist
  • Portage, MI
National Provider Identifier
1598976144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12474 Issued in MI
Legal business name
SUSAN M. DENNIS, D.D.S.
Practice address
8150 Moors Bridge Rd
Suite a
Portage, MI 49024-7419
Phone
(269) 327-3400
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan M Dennis, D.D.S.NPI 1093826265
Title
Dentist
Phone
(269) 327-3400

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12474 MI Primary

Addresses

Primary practice location

8150 Moors Bridge Rd
Suite a
Portage, MI 49024-7419

Mailing address

8150 Moors Bridge Rd
Suite a
Portage, MI 49024-7419
Phone (269) 327-3400

National Provider Directory

National Provider Directory

Locations

8150 Moorsbridge Rd
Ste A
Portage, MI 49024
Phone (269) 327-3400

Practitioners & affiliated clinicians

Practitioners 5

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598976144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 MOORS BRIDGE RD",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247419",
            "telephone_number": "269-327-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 MOORS BRIDGE RD",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247419",
            "telephone_number": "269-327-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. DENNIS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "269-327-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "12474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.