Active NPI
Brian Cilla DDS Ms PC
Doing business as West Michigan Periodontics & Advanced Implant Dentistry
- Periodontics
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 290104700
- Legal business name
- BRIAN CILLA DDS MS PC
- Doing business as
- West Michigan Periodontics & Advanced Implant Dentistry
- Practice address
- 1525 East Beltline NE
Suite 201
Grand Rapids, MI 49525 - Phone
- (616) 365-1785
- Fax
- (616) 365-2968
- NPI assigned
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Lee Cilla, DDS MS
- Title
- Owner President
- Phone
- (616) 531-1920
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 290104700 | MI | Primary |
Addresses
Primary practice location
1525 East Beltline NE
Suite 201
Grand Rapids, MI 49525
Mailing address
3145 Prairie St SW
Suite 104
Grandville, MI 49418
Phone (616) 531-1920
Other names 1
- West Michigan Periodontics & Advanced Implant Dentistry
National Provider Directory
National Provider DirectoryLocations
1525 E Beltline Ave NE
Ste 201
Grand Rapids, MI 49525
Phone (616) 365-1785
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Grandville, MI
- NPI 1215046909
-
- Periodontics
- Coopersville, MI
- NPI 1952591109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1922266741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 PRAIRIE ST SW",
"address_2": "SUITE 104",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "49418",
"telephone_number": "616-531-1920",
"fax_number": "616-531-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 EAST BELTLINE NE",
"address_2": "SUITE 201",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49525",
"telephone_number": "616-365-1785",
"fax_number": "616-365-2968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN CILLA DDS MS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "CILLA",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "616-531-1920",
"authorized_official_credential": "DDS MS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "290104700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Michigan Periodontics & Advanced Implant Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.