Healthy Smile PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17705 Issued in MI

Legal business name

HEALTHY SMILE PLC

Practice address

2021 44TH St SW
Grand Rapids, MI 49508

Phone

(616) 281-8338

Fax

(616) 281-1162

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Suzzette Ona, DMDNPI 1194942557

Title

Owner/Dentist

Phone

(616) 281-8338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Suzzette L Ona, DMD

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1194942557
  Medicare reassignment NPD Authorized official
• Andra Trapp, DDS

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1205333705
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1821471616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8228",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495188228",
            "telephone_number": "616-281-8338",
            "fax_number": "616-281-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 44TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "616-281-8338",
            "fax_number": "616-281-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "ONA",
        "authorized_official_first_name": "SUZZETTE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "616-281-8338",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Healy, RD
• Linda Marie Healy, OTR
• Kiuan Jhernell Hearns, LPC
• Heart and Wellness Institute
• Heart in Balance

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.