Active NPI
Northpointe Dental and Implant Center of Wyoming PLLC
- Dental Clinic/Center
- Grand Rapids, MI
National Provider Identifier
1841974847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.