NPIMap

Organization Active NPI

Heather J. Cadorette DDS PLLC

  • General Practice Dentistry
  • Rockford, MI
National Provider Identifier
1699274308
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17750 Issued in MI
Legal business name
HEATHER J. CADORETTE DDS PLLC
Practice address
190 Marcell Dr NE
Rockford, MI 49341-1300
Phone
(616) 884-5884
Fax
(616) 884-5888
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Wendy Hudson
Title
Business Administrator
Phone
(616) 884-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17750 MI Primary

Addresses

Primary practice location

190 Marcell Dr NE
Rockford, MI 49341-1300

Mailing address

190 Marcell Dr NE
Rockford, MI 49341-1300
Phone (616) 884-5884

Other identifiers 1

IdentifierTypeStateIssuer
1588873509MedicaidMI

Other names 1

  • 85 West Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1699274308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MARCELL DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411300",
            "telephone_number": "616-884-5884",
            "fax_number": "616-884-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MARCELL DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411300",
            "telephone_number": "616-884-5884",
            "fax_number": "616-884-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER J. CADORETTE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "616-884-5884"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588873509",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "85 West Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.