NPIMap

Organization Active NPI

Harbor North Dental Associates

  • General Practice Dentistry
  • Alpena, MI
National Provider Identifier
1649845330
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARBOR NORTH DENTAL ASSOCIATES
Practice address
320 Long Rapids PLZ
Alpena, MI 49707-1374
Phone
(989) 354-2108
Fax
(989) 356-4245
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Dr. Brent M Kendiorski, DDS
Title
Owner
Phone
(989) 354-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

320 Long Rapids PLZ
Alpena, MI 49707-1374

Mailing address

320 Long Rapids PLZ
Alpena, MI 49707-1374
Phone (989) 354-2108

National Provider Directory

National Provider Directory

Locations

320 Long Rapids Plz
Alpena, MI 49707
Phone (989) 354-2108

Practitioners & affiliated clinicians

Practitioners 3

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": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1649845330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-354-2108",
            "fax_number": "989-356-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-354-2108",
            "fax_number": "989-356-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR NORTH DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "KENDIORSKI",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-354-2108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.