Organization Active NPI

Smiles on Wheels

  • Dental Hygienist
  • Jackson, MI
National Provider Identifier
1821494642
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3902016934 Issued in MI
Legal business name
SMILES ON WHEELS
Practice address
7040 McKay Rd
Jackson, MI 49201-9261
Phone
(517) 740-2596
Fax
(517) 536-0957
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Kim Crabtree, RDH
Title
President
Phone
(517) 740-2596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 3902016934 MI Primary

Addresses

Primary practice location

7040 McKay Rd
Jackson, MI 49201-9261

Mailing address

7040 McKay Rd
Jackson, MI 49201-9261
Phone (517) 740-2596

National Provider Directory

National Provider Directory
Tax ID family
Smiles on Wheels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1821494642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 MCKAY RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019261",
            "telephone_number": "517-740-2596",
            "fax_number": "517-536-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 MCKAY RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019261",
            "telephone_number": "517-740-2596",
            "fax_number": "517-536-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-740-2596",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "3902016934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2014; 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.