Organization Active NPI

Smile Dental Partners PLLC

  • Public Health Dentistry
  • Grand Haven, MI
National Provider Identifier
1942837810
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
SMILE DENTAL PARTNERS PLLC
Practice address
1203 S Beechtree St
Grand Haven, MI 49417-2839
Phone
(616) 850-3970
Fax
(616) 850-3976
NPI assigned
Mar 23, 2020
Last updated
Mar 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Lisa Papes
Title
Operations Director
Phone
(616) 268-2092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X NU Primary

Addresses

Primary practice location

1203 S Beechtree St
Grand Haven, MI 49417-2839

Mailing address

128 Columbus Ave
Grand Haven, MI 49417-1224
Phone (616) 268-2092

Other practice location 1

1915 Holton Rd
North Muskegon, MI 49445-1533
Phone (231) 719-0033

Other practice location 2

205 W 29th St Ste 100
Holland, MI 49423-6973
Phone (616) 392-2587

Other practice location 3

4505 Cascade Rd SE # A
Grand Rapids, MI 49546-8381
Phone (616) 228-1210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address operations@smileoneservices.com Direct

National Provider Directory

National Provider Directory

Locations

205 W 29th St
Ste 100
Holland, MI 49423
Phone (616) 392-2587

Practitioners & affiliated clinicians

Practitioners 4

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": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1942837810",
    "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": "616-268-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S BEECHTREE ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172839",
            "telephone_number": "616-850-3970",
            "fax_number": "616-850-3976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Holton Rd",
            "address_purpose": "LOCATION",
            "city": "North Muskegon",
            "state": "MI",
            "postal_code": "494451533",
            "country_code": "US",
            "telephone_number": "231-719-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W 29th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494236973",
            "country_code": "US",
            "telephone_number": "616-392-2587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 Cascade Rd SE # A",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468381",
            "country_code": "US",
            "telephone_number": "616-228-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "PAPES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "616-268-2092"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "operations@smileoneservices.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1203 S Beechtree St",
            "city": "Grand Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494172839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.