Active NPI
Smile Ithaca PLLC
- General Practice Dentistry
- Ithaca, MI
National Provider Identifier
1922677335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMILE ITHACA PLLC
- Practice address
- 108 S Main St
Ithaca, MI 48847-1440 - Phone
- (989) 875-4832
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 21, 2021
- 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
- Darren Riopelle, DDS
- Title
- Owner, Ceo
- Phone
- (616) 502-8023
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Pediatric Dentistry | 1223P0221X | NU |
Addresses
Primary practice location
108 S Main St
Ithaca, MI 48847-1440
Mailing address
128 Columbus Ave
Grand Haven, MI 49417-1224
Phone (616) 268-2090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@smileithaca.com | Direct |
National Provider Directory
National Provider DirectoryLocations
108 S Main St
Ithaca, MI 48847
Phone (989) 875-4832
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.
-
- General Practice Dentistry
- Grand Haven, MI
- NPI 1265595102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1922677335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 COLUMBUS AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171224",
"telephone_number": "616-268-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S MAIN ST",
"city": "ITHACA",
"state": "MI",
"postal_code": "488471440",
"telephone_number": "989-875-4832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE ITHACA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "RIOPELLE",
"authorized_official_first_name": "DARREN",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "616-502-8023",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@smileithaca.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "108 S Main St",
"city": "Ithaca",
"state": "MI",
"country_code": "US",
"postal_code": "488471440",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ithaca, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.