NPIMap

Organization Active NPI

Family Dental Care of Dimondale, PC

  • General Practice Dentistry
  • Dimondale, MI
National Provider Identifier
1629088943
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014382 Issued in MI
Legal business name
FAMILY DENTAL CARE OF DIMONDALE, PC
Practice address
214 N Bridge St
Dimondale, MI 48821-8702
Phone
(517) 646-8226
Fax
(517) 646-7545
NPI assigned
Aug 9, 2006
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Timothy M. Bair, D.D.S.NPI 1932251741
Title
Secretary/Treasurer
Phone
(517) 646-8226

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901014378 MI
General Practice Dentistry 1223G0001X 2901014382 MI Primary

Addresses

Primary practice location

214 N Bridge St
Dimondale, MI 48821-8702

Mailing address

214 N Bridge St
PO Box 448
Dimondale, MI 48821-8702
Phone (517) 646-8226

National Provider Directory

National Provider Directory

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1629088943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N BRIDGE ST",
            "address_2": "PO BOX 448",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488218702",
            "telephone_number": "517-646-8226",
            "fax_number": "517-646-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N BRIDGE ST",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488218702",
            "telephone_number": "517-646-8226",
            "fax_number": "517-646-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE OF DIMONDALE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "517-646-8226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014378",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dimondale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.