NPIMap

Organization Active NPI

Sparta Dental Care, PLLC

  • General Practice Dentistry
  • Sparta, MI
National Provider Identifier
1831564202
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020037 Issued in MI
Legal business name
SPARTA DENTAL CARE, PLLC
Practice address
62 N Union St
Sparta, MI 49345-1138
Phone
(616) 887-7355
Fax
(616) 887-2005
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Michael Kenneth Flores, D.D.S.NPI 1194954305
Title
Manager
Phone
(616) 558-2282

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901020037 MI Primary

Addresses

Primary practice location

62 N Union St
Sparta, MI 49345-1138

Mailing address

62 N Union St
Sparta, MI 49345-1138
Phone (616) 887-7355

National Provider Directory

National Provider Directory

Locations

62 N Union St
Sparta, MI 49345
Phone (616) 887-7355

Practitioners & affiliated clinicians

Practitioners 3

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": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1831564202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N UNION ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451138",
            "telephone_number": "616-887-7355",
            "fax_number": "616-887-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N UNION ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451138",
            "telephone_number": "616-887-7355",
            "fax_number": "616-887-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-558-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.