NPIMap

Organization Active NPI

DRS May and Mallory DDS PC

Doing business as Breton Gardens Family Dentistry

  • General Practice Dentistry
  • Kentwood, MI
National Provider Identifier
1942471826
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15053 Issued in MI
Legal business name
DRS MAY AND MALLORY DDS PC
Doing business as
Breton Gardens Family Dentistry
Practice address
4144 Breton Rd SE
Kentwood, MI 49512-3856
Phone
(616) 455-0720
Fax
(616) 455-0815
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. David Edward May, D.D.S.NPI 1821010174
Title
Owner/Dentist
Phone
(616) 455-0720

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15053 MI Primary

Addresses

Primary practice location

4144 Breton Rd SE
Kentwood, MI 49512-3856

Mailing address

4144 Breton Rd SE
Kentwood, MI 49512-3856
Phone (616) 455-0720

Other identifiers 2

IdentifierTypeStateIssuer
4234026MedicaidMI
4234035MedicaidMI

Other names 1

  • BRETON GARDENS FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

4144 Breton Rd SE
Kentwood, MI 49512
Phone (616) 455-0720

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1942471826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 BRETON RD SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123856",
            "telephone_number": "616-455-0720",
            "fax_number": "616-455-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 BRETON RD SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123856",
            "telephone_number": "616-455-0720",
            "fax_number": "616-455-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MAY AND MALLORY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "616-455-0720",
        "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": "15053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4234026",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4234035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRETON GARDENS FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.