Organization Active NPI

Northwest Breathing & Wellness Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MI
National Provider Identifier
1780243683
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHWEST BREATHING & WELLNESS CENTER, PLLC
Doing business as
Northwest Dental Excellence, PLLC
Practice address
1500 W Parnall Rd
Jackson, MI 49201-8660
Phone
(517) 513-8070
Fax
(517) 795-2687
NPI assigned
Jun 13, 2019
Organization subpart
Yes
Parent organization
NORTHWEST DENTAL EXCELLENCE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Dr. Brianne Elizabeth Mezo, DDSNPI 1275024192
Title
Owner Dentist
Phone
(517) 513-8070

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1500 W Parnall Rd
Jackson, MI 49201-8660

Mailing address

1500 W Parnall Rd
Jackson, MI 49201-8660
Phone (517) 513-8070

Other names 1

  • Northwest Dental Excellence, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1500 W Parnall Rd
Jackson, MI 49201
Phone (517) 513-8070

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": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1780243683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W PARNALL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018660",
            "telephone_number": "517-513-8070",
            "fax_number": "517-795-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W PARNALL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018660",
            "telephone_number": "517-513-8070",
            "fax_number": "517-795-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BREATHING & WELLNESS CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST DENTAL EXCELLENCE, PLLC",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "MEZO",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "517-513-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Dental Excellence, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.