Radiant Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RADIANT SMILES

Practice address

4650 Plainfield Ave NE
Grand Rapids, MI 49525-1229

Phone

(616) 389-0505

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Malavi Patel, DMDNPI 1669785911

Title

Dentist

Phone

(616) 389-0505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malavi K Patel, D.M.D

  • Dentist
  • Sunrise, FL
  • NPI 1669785911
  NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1770286270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 SPRINGMILL AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251229",
            "telephone_number": "616-389-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MALAVI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-389-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reily Nicole Rademacher, PA-C
• Rachel Elizabeth Raden
• Sarah Elizabeth Raden, CNP
• Myles Radersma
• Radiant Health and Wellness
• Radiation Oncology Centers PC
• Radical Therapy PLLC
• Shannon Radke
• Krestin Radonovich, PHD
• Phillip A Raduazo, MD

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.