NPIMap

Organization Active NPI

Grandview Dental Care PLLC

  • General Practice Dentistry
  • Traverse City, MI
National Provider Identifier
1881912491
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015139 Issued in MI
Legal business name
GRANDVIEW DENTAL CARE PLLC
Practice address
421 2ND St Ste 1
Traverse City, MI 49684-2004
Phone
(231) 922-0775
Fax
(231) 941-1831
NPI assigned
May 6, 2010
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Dr. Mark E Whiting, DMDNPI 1902964851
Title
Owner
Phone
(231) 922-0775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MI15139 MI
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901015139 MI Primary

Addresses

Primary practice location

421 2ND St Ste 1
Traverse City, MI 49684-2004

Mailing address

421 2ND St Ste 1
Traverse City, MI 49684-2004
Phone (231) 922-0775

Other names 1

  • Mark E Whiting DMD Other name

National Provider Directory

National Provider Directory

Locations

421 Second St
Ste 1
Traverse City, MI 49684
Phone (231) 922-0775

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": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1881912491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 2ND ST STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842004",
            "telephone_number": "231-922-0775",
            "fax_number": "231-941-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 2ND ST STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842004",
            "telephone_number": "231-922-0775",
            "fax_number": "231-941-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-922-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "MI15139",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark E Whiting DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.