Organization Active NPI

Tongue Tie Specialists of West Michigan

  • Pediatric Dentistry
  • Grand Rapids, MI
National Provider Identifier
1861191280
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TONGUE TIE SPECIALISTS OF WEST MICHIGAN
Practice address
2155 E Paris Ave SE Ste 120
Grand Rapids, MI 49546-6190
Phone
(616) 608-8898
NPI assigned
Feb 24, 2023
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Dr. Kathryn Swanson, DDSNPI 1053726422
Title
Owner
Phone
(616) 608-8898

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
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

2155 E Paris Ave SE Ste 120
Grand Rapids, MI 49546-6190

Mailing address

2155 E Paris Ave SE Ste 120
Grand Rapids, MI 49546-6190
Phone (616) 608-8898

National Provider Directory

National Provider Directory

Locations

2155 East Paris Ave SE
Ste 120
Grand Rapids, MI 49546
Phone (616) 608-8898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1861191280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E PARIS AVE SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466190",
            "telephone_number": "616-608-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E PARIS AVE SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466190",
            "telephone_number": "616-608-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGUE TIE SPECIALISTS OF WEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-608-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "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 Feb 24, 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.