Organization Active NPI

Breton Gardens Family Dentistry,PLLC

  • General Practice Dentistry
  • Kentwood, MI
National Provider Identifier
1871863811
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17291 Issued in MI
Legal business name
BRETON GARDENS FAMILY DENTISTRY,PLLC
Practice address
4144 Breton Rd SE
Kentwood, MI 49512-3856
Phone
(616) 455-0720
Fax
(616) 455-0815
NPI assigned
Jan 9, 2012
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Dr. Scott Singstock, D.D.S.NPI 1013061324
Title
Dentist
Phone
(616) 455-0720

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 17291 MI Primary

Addresses

Primary practice location

4144 Breton Rd SE
Kentwood, MI 49512-3856

Mailing address

4144 Breton Rd SE
Kentwood, MI 49512-3856
Phone (616) 455-0720

National Provider Directory

National Provider Directory

Locations

4144 Breton Rd SE
Kentwood, MI 49512
Phone (616) 455-0720

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": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1871863811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 BRETON RD SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123856",
            "telephone_number": "616-455-0720",
            "fax_number": "616-455-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 BRETON RD SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123856",
            "telephone_number": "616-455-0720",
            "fax_number": "616-455-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETON GARDENS FAMILY DENTISTRY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "SINGSTOCK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-455-0720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.