NPIMap

Organization Active NPI

Hernly Family and Cosmetic Dentistry, PC

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1902827157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18009 Issued in MI
Legal business name
HERNLY FAMILY AND COSMETIC DENTISTRY, PC
Practice address
847 Parchment Dr SE
Suite 115
Grand Rapids, MI 49546-2303
Phone
(616) 957-1731
Fax
(616) 957-4420
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David J Hernly, D.D.S.NPI 1376566489
Title
President
Phone
(616) 957-1731

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18009 MI Primary

Addresses

Primary practice location

847 Parchment Dr SE
Suite 115
Grand Rapids, MI 49546-2303

Mailing address

847 Parchment Dr SE
Suite 115
Grand Rapids, MI 49546-2303
Phone (616) 957-1731

National Provider Directory

National Provider Directory

Locations

847 Parchment Dr SE
Ste 115
Grand Rapids, MI 49546
Phone (616) 957-1731

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902827157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE",
            "address_2": "SUITE 115",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462303",
            "telephone_number": "616-957-1731",
            "fax_number": "616-957-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE",
            "address_2": "SUITE 115",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462303",
            "telephone_number": "616-957-1731",
            "fax_number": "616-957-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNLY FAMILY AND COSMETIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-957-1731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

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