Organization Active NPI

119 Bridge Dental Care, P.C.

  • General Practice Dentistry
  • Portland, MI
National Provider Identifier
1730705443
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
119 BRIDGE DENTAL CARE, P.C.
Practice address
119 E Bridge St
Portland, MI 48875-1434
Phone
(517) 647-4511
NPI assigned
Jun 18, 2020
Last updated
Jun 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Dr. Jami Schneider, D.D.SNPI 1033168828
Title
Dentist
Phone
(517) 647-4511

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

119 E Bridge St
Portland, MI 48875-1434

Mailing address

119 E Bridge St
Portland, MI 48875-1434
Phone (517) 647-4511

National Provider Directory

National Provider Directory

Locations

119 E Bridge St
Portland, MI 48875
Phone (517) 647-1814

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": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1730705443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E BRIDGE ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751434",
            "telephone_number": "517-647-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E BRIDGE ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751434",
            "telephone_number": "517-647-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "119 BRIDGE DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "517-647-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.