Active NPI
South Arm Smiles
Doing business as Maple Ridge Dentistry
- Dentist
- East Jordan, MI
National Provider Identifier
1760284558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SOUTH ARM SMILES
- Doing business as
- Maple Ridge Dentistry
- Practice address
- 101 Maple Ridge Dr
East Jordan, MI 49727-8926 - Phone
- (231) 536-2601
- NPI assigned
- Mar 25, 2025
- Last updated
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Kuiper, DDS
- Title
- Ceo/President
- Phone
- (616) 914-8353
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
101 Maple Ridge Dr
East Jordan, MI 49727-8926
Mailing address
4773 US Highway 131 N
Boyne Falls, MI 49713-9617
Phone (616) 914-8353
Other names 1
- Maple Ridge Dentistry
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Jackson, MI
- NPI 1215597414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1760284558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4773 US HIGHWAY 131 N",
"city": "BOYNE FALLS",
"state": "MI",
"postal_code": "497139617",
"telephone_number": "616-914-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MAPLE RIDGE DR",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497278926",
"telephone_number": "231-536-2601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH ARM SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "KUIPER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "616-914-8353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maple Ridge Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Jordan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.