Oshtemo Family Dentistry PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OSHTEMO FAMILY DENTISTRY PLC

Practice address

5917 Stadium Dr
Kalamazoo, MI 49009-3017

Phone

(269) 372-1042

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Catherine E Nelson, DDS

Title

Transition Consultant

Phone

(269) 372-1042

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1952854739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093017",
            "telephone_number": "269-372-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093017",
            "telephone_number": "269-372-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHTEMO FAMILY DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TRANSITION CONSULTANT",
        "authorized_official_telephone_number": "269-372-1042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breana Maria Ortiz
• Luis G Ortiz, MD
• Adam Russell Osborne, L.P.C.
• Christina Marie Osborne, NP
• Erica Osei
• Oshtemo Family Dentistry, PC
• Oshtemo Pharmacy LLC
• Marie Osler
• Sasha Vanessa Ospina, LMSW
• Racel Elizabeth Ossino, PTA

• General Practice Dentistry in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.