NPIMap

Organization Active NPI

McCoy Family Dentistry

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1710417969
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12826 Issued in MI
Legal business name
MCCOY FAMILY DENTISTRY
Practice address
2330 44TH St SE
Grand Rapids, MI 49508-4700
Phone
(616) 538-6210
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Steven McCoy, DDS
Title
Co Owner
Phone
(616) 538-6210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12826 MI Primary

Addresses

Primary practice location

2330 44TH St SE
Grand Rapids, MI 49508-4700

Mailing address

2330 44TH St SE
Grand Rapids, MI 49508-4700
Phone (616) 538-6210

Other identifiers 1

IdentifierTypeStateIssuer
1265599807OtherMINPI

National Provider Directory

National Provider Directory

Locations

2330 44th St SE
Grand Rapids, MI 49508
Phone (616) 538-6210

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710417969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 44TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495084700",
            "telephone_number": "616-538-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 44TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495084700",
            "telephone_number": "616-538-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "616-538-6210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "12826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265599807",
            "state": "MI"
        }
    ],
    "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 Jul 21, 2022; 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.