NPIMap

Organization Active NPI

County of Grand Traverse

  • Public Health Dentistry
  • Traverse City, MI
National Provider Identifier
1821546854
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
COUNTY OF GRAND TRAVERSE
Practice address
2600 Lafranier Rd Ste a
Traverse City, MI 49686-4765
Phone
(231) 995-6111
Fax
(231) 995-6109
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Erin Carlson
Title
Accountant
Phone
(231) 995-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

2600 Lafranier Rd Ste a
Traverse City, MI 49686-4765

Mailing address

2600 Lafranier Rd Ste a
Traverse City, MI 49686-4765
Phone (231) 995-6111

Other names 1

  • Grand Traverse County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
K-Town Youth Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1821546854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAFRANIER RD STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864765",
            "telephone_number": "231-995-6111",
            "fax_number": "231-995-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LAFRANIER RD STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864765",
            "telephone_number": "231-995-6111",
            "fax_number": "231-995-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRAND TRAVERSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "231-995-6103"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Traverse County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.