NPIMap

Organization Active NPI

Mt Pleasant Gentle Family Dentistry, PLLC

  • Dental Clinic/Center
  • Mount Pleasant, MI
National Provider Identifier
1902553399
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MT PLEASANT GENTLE FAMILY DENTISTRY, PLLC
Practice address
2185 E Pickard Rd Ste B
Mount Pleasant, MI 48858-1287
Phone
(989) 772-4200
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Jung Keun Kim, DDSNPI 1730588617
Title
Dentist
Phone
(917) 755-5784

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 Primary

Addresses

Primary practice location

2185 E Pickard Rd Ste B
Mount Pleasant, MI 48858-1287

Mailing address

2185 E Pickard Rd Ste B
Mount Pleasant, MI 48858-1287
Phone (989) 772-4200

National Provider Directory

National Provider Directory

Locations

2185 E Pickard Rd
Ste B
Mt Pleasant, MI 48858
Phone (989) 772-4200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1902553399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 E PICKARD RD STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581287",
            "telephone_number": "989-772-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 E PICKARD RD STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581287",
            "telephone_number": "989-772-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT GENTLE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNG  KEUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-755-5784",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.