Organization Active NPI

Kushion Dental, PLLC

  • General Practice Dentistry
  • Crystal Falls, MI
National Provider Identifier
1861806143
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021279 Issued in MI
Legal business name
KUSHION DENTAL, PLLC
Practice address
305 Superior Ave
Crystal Falls, MI 49920-1426
Phone
(906) 875-6301
NPI assigned
Jun 16, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. Eric KushionNPI 1316355431
Title
DDS
Phone
(989) 245-9669

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
General Practice Dentistry 1223G0001X 2901021279 MI Primary

Addresses

Primary practice location

305 Superior Ave
Crystal Falls, MI 49920-1426

Mailing address

1858 Lake Circle Dr W
Saginaw, MI 48609-9452
Phone (989) 245-9669

National Provider Directory

National Provider Directory

Locations

305 Superior Ave
Crystal Falls, MI 49920
Phone (906) 875-6301

Practitioners & affiliated clinicians

Practitioners 2

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": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1861806143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 LAKE CIRCLE DR W",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486099452",
            "telephone_number": "989-245-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SUPERIOR AVE",
            "city": "CRYSTAL FALLS",
            "state": "MI",
            "postal_code": "499201426",
            "telephone_number": "906-875-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSHION DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "KUSHION",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "989-245-9669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Falls, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.