NPIMap

Organization Active NPI

Ionia Family Dentistry

  • General Practice Dentistry
  • Ionia, MI
National Provider Identifier
1609019439
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15925 Issued in MI
Legal business name
IONIA FAMILY DENTISTRY
Practice address
430 Swartz CT
Ionia, MI 48846-2139
Phone
(616) 527-4930
NPI assigned
Apr 9, 2009
Last updated
Apr 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Mrs. Tami Jean Feneis
Title
Business Manager
Phone
(616) 527-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15925 MI Primary

Addresses

Primary practice location

430 Swartz CT
Ionia, MI 48846-2139

Mailing address

430 Swartz CT
Ionia, MI 48846-2139
Phone (616) 527-4930

National Provider Directory

National Provider Directory

Locations

430 Swartz Ct
Ionia, MI 48846
Phone (616) 527-4930

Practitioners & affiliated clinicians

Practitioners 3

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": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1609019439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SWARTZ CT",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462139",
            "telephone_number": "616-527-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SWARTZ CT",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462139",
            "telephone_number": "616-527-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IONIA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "FENEIS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "616-527-4930",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.