Michigan Sleep Network PC

Primary specialty

DentistTaxonomy code 122300000X

License

11372 Issued in MI

Legal business name

MICHIGAN SLEEP NETWORK PC

Practice address

555 Midtowne NE
Suite 104-B
Grand Rapids, MI 49503-5713

Phone

(616) 784-0274

Fax

(616) 784-4468

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Burton, DDSNPI 1073623823

Title

C.O.O

Phone

(616) 784-0274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Michigan Sleep Network, P.C.

  • Customized Equipment (DME)
  • Dearborn Heights, MI
  • NPI 1427430719

  O20150421002207

  Same enrollment

Practitioners 2

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

• Daniel James Burton, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1073623823
  Medicare reassignment NPD Authorized official
• Matthew John Vertin, DDS

  • General Practice Dentistry
  • Dearborn Heights, MI
  • NPI 1891856613
  Medicare reassignment NPD

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1831500958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MIDTOWNE NE",
            "address_2": "SUITE 104-B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035713",
            "telephone_number": "616-784-0274",
            "fax_number": "616-784-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MIDTOWNE NE",
            "address_2": "SUITE 104-B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035713",
            "telephone_number": "616-784-0274",
            "fax_number": "616-784-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SLEEP NETWORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "616-784-0274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "11372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Orthopaedics and Sports Medicine, PC
• Michigan Pain Consultants PC
• Michigan Pathology Specialists PC
• Michigan Progressive Health Grand Rapids
• Michigan Reproductive and Ivf Cener, PC
• Michigan Street Optical
• Michigan Urological Clinic
• Andrew C Michmerhuizen, D.O.
• Marley Mickel
• Avery Mickelson

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.