Organization Active NPI

Nesmith Periodontics & Dental Implants PLLC

  • Periodontics
  • Petoskey, MI
National Provider Identifier
1831837046
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
NESMITH PERIODONTICS & DENTAL IMPLANTS PLLC
Practice address
2115 M 119
Petoskey, MI 49770-9042
Phone
(989) 657-4858
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Elizabeth Nesmith, DMDNPI 1972952711
Title
Member
Phone
(989) 657-4858

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2115 M 119
Petoskey, MI 49770-9042

Mailing address

546 W Lake St
Petoskey, MI 49770-2225
Phone (989) 657-4858

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1831837046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 W LAKE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702225",
            "telephone_number": "989-657-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709042",
            "telephone_number": "989-657-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESMITH PERIODONTICS & DENTAL IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "NESMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-657-4858",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.