Active NPI
Nesmith Periodontics & Dental Implants PLLC
- Periodontics
- Petoskey, MI
National Provider Identifier
1831837046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Nesmith, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Columbus, OH
- NPI 1972952711
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.