Organization Active NPI

My Community Dental Centers Inc

  • Public Health Dentistry
  • Petoskey, MI
National Provider Identifier
1700072543
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
MY COMMUNITY DENTAL CENTERS INC
Practice address
2940 Parkview Dr
Petoskey, MI 49770-8795
Phone
(231) 437-4741
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Kristin M Schaner
Title
Credentialing
Phone
(231) 437-4741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

2940 Parkview Dr
Petoskey, MI 49770-8795

Mailing address

2940 Parkview Dr
Petoskey, MI 49770-8795
Phone (231) 437-4741

National Provider Directory

National Provider Directory

Locations

1 Water St
Ste 200
Boyne City, MI 49712
Phone (231) 547-7675

3890 Charlevoix Rd
Ste 300
Petoskey, MI 49770
Phone (231) 674-3834

2940 Parkview Dr
Petoskey, MI 49770
Phone (231) 437-4741

Practitioners & affiliated clinicians

Practitioners 2

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1700072543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 PARKVIEW DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708795",
            "telephone_number": "231-437-4741",
            "fax_number": "231-582-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 PARKVIEW DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708795",
            "telephone_number": "231-437-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY COMMUNITY DENTAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "SCHANER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "231-437-4741"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.