Organization Active NPI

Northpointe Dental and Implant Center of Wyoming PLLC

  • Dental Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1841974847
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTHPOINTE DENTAL AND IMPLANT CENTER OF WYOMING PLLC
Practice address
680 3 Mile Rd NW Ste B
Grand Rapids, MI 49544-8218
Phone
(616) 288-6134
Fax
(616) 825-6338
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Suk Jun Yun, DDS
Title
DDS
Phone
(616) 334-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

680 3 Mile Rd NW Ste B
Grand Rapids, MI 49544-8218

Mailing address

5601 Wilson Ave SW
Wyoming, MI 49418-9353
Phone (616) 334-6500

Other practice location 1

5601 Wilson Ave SW
Wyoming, MI 49418-9353
Phone (616) 334-6500

National Provider Directory

National Provider Directory

Locations

680 3 Mile Rd NW
Ste B
Grand Rapids, MI 49544
Phone (616) 288-6134

5601 Wilson Ave SW
Wyoming, MI 49418
Phone (616) 334-6500

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1841974847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 WILSON AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189353",
            "telephone_number": "616-334-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 3 MILE RD NW STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448218",
            "telephone_number": "616-288-6134",
            "fax_number": "616-825-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Wilson Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "494189353",
            "country_code": "US",
            "telephone_number": "616-334-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHPOINTE DENTAL AND IMPLANT CENTER OF WYOMING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "SUK JUN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "616-334-6500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.