Organization Active NPI

West Michigan Dental Professionals

  • Dental Clinic/Center
  • Caledonia, MI
National Provider Identifier
1881203990
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WEST MICHIGAN DENTAL PROFESSIONALS
Practice address
6477 Cherry Meadow Dr SE Ste 1
Caledonia, MI 49316-7351
Phone
(616) 891-8990
Fax
(616) 891-9004
NPI assigned
Jul 24, 2020
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Dr. Efthymia Papathoma GriasNPI 1376815332
Title
DDS
Phone
(616) 891-8990

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

6477 Cherry Meadow Dr SE Ste 1
Caledonia, MI 49316-7351

Mailing address

6477 Cherry Meadow Dr SE Ste 1
Caledonia, MI 49316-7351
Phone (616) 891-8990

National Provider Directory

National Provider Directory

Locations

6477 Cherry Meadow Dr SE
Ste 1
Caledonia, MI 49316
Phone (616) 891-8990

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": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1881203990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6477 CHERRY MEADOW DR SE STE 1",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167351",
            "telephone_number": "616-891-8990",
            "fax_number": "616-891-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6477 CHERRY MEADOW DR SE STE 1",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167351",
            "telephone_number": "616-891-8990",
            "fax_number": "616-891-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "PAPATHOMA GRIAS",
        "authorized_official_first_name": "EFTHYMIA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "616-891-8990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.