Organization Active NPI

Fingleton Family Dentistry

  • Dental Clinic/Center
  • Wyoming, MI
National Provider Identifier
1770729048
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901019111 Issued in MI
Legal business name
FINGLETON FAMILY DENTISTRY
Practice address
600 36TH St SW
Wyoming, MI 49509-4005
Phone
(616) 532-9600
Fax
(616) 532-9602
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Dr. Iliana Mireye Fingleton, DDSNPI 1841435666
Title
Owner
Phone
(616) 532-9600

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
Dental Clinic/Center 261QD0000X 2901019111 MI Primary

Addresses

Primary practice location

600 36TH St SW
Wyoming, MI 49509-4005

Mailing address

600 36TH St SW
Wyoming, MI 49509-4005
Phone (616) 532-9600

Other practice location 1

4124 56th St SW
Suite 4
Wyoming, MI 49418-9494
Phone (616) 532-9600

National Provider Directory

National Provider Directory

Locations

600 36th St SW
Wyoming, MI 49509
Phone (616) 530-0600

4124 56th St SW
Ste 4
Wyoming, MI 49418
Phone (616) 222-0631

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1770729048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094005",
            "telephone_number": "616-532-9600",
            "fax_number": "616-532-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094005",
            "telephone_number": "616-532-9600",
            "fax_number": "616-532-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4124 56th St SW",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "494189494",
            "country_code": "US",
            "telephone_number": "616-532-9600",
            "fax_number": "616-532-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FINGLETON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "FINGLETON",
        "authorized_official_first_name": "ILIANA",
        "authorized_official_middle_name": "MIREYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-532-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901019111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.