NPIMap

Organization Active NPI

James L. Souers,D.D.S., Orthodontist, P.C.

Doing business as Michigan Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Three Rivers, MI
National Provider Identifier
1730248600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901010033 Issued in MI
Legal business name
JAMES L. SOUERS,D.D.S., ORTHODONTIST, P.C.
Doing business as
Michigan Orthodontic Specialists
Practice address
111 E Kelsey St
Three Rivers, MI 49093-1503
Phone
(269) 273-9595
Fax
(269) 278-8071
NPI assigned
Dec 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James L Souers, D.D.S., PCNPI 1770790008
Title
Orthodontist
Phone
(269) 273-9595

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2901010033 MI Primary

Addresses

Primary practice location

111 E Kelsey St
Three Rivers, MI 49093-1503

Mailing address

111 E Kelsey St
Three Rivers, MI 49093-1503
Phone (269) 273-9595

Other names 1

  • Michigan Orthodontic Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James L Souers DDS Orthodontist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 E Kelsey St
Three Rivers, MI 49093
Phone (269) 273-9595

Practitioners & affiliated clinicians

Practitioners 1

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": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730248600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E KELSEY ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931503",
            "telephone_number": "269-273-9595",
            "fax_number": "269-278-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E KELSEY ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931503",
            "telephone_number": "269-273-9595",
            "fax_number": "269-278-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. SOUERS,D.D.S., ORTHODONTIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "269-273-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901010033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.