Individual provider Active NPI

Erin Nartker, DDS

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1619469046
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022584 Issued in MI
Practice address
2005 Leonard St NW
Grand Rapids, MI 49504-3827
Phone
(616) 453-5331
NPI assigned
Jun 1, 2018
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022584 MI Primary
General Practice Dentistry 1223G0001X 2901022584 MI

Addresses

Primary practice location

2005 Leonard St NW
Grand Rapids, MI 49504-3827

Mailing address

336 Manhattan Rd SE
E Grand Rapid, MI 49506-2019
Phone (248) 921-3436

Other practice location 1

515 Michigan St NE Ste 202
Grand Rapids, MI 49503-5721
Phone (616) 458-0631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022584MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Dental PC General Practice PastSince Mar 26, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1619469046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 MANHATTAN RD SE",
            "city": "E GRAND RAPID",
            "state": "MI",
            "postal_code": "495062019",
            "telephone_number": "248-921-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 LEONARD ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043827",
            "telephone_number": "616-453-5331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Michigan St NE Ste 202",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495035721",
            "country_code": "US",
            "telephone_number": "616-458-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARTKER",
        "first_name": "ERIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022584",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.