Cherry Street Services Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

CHERRY STREET SERVICES INC

Practice address

1230 W State St
Hastings, MI 49058-9712

Phone

(269) 945-4220

Fax

(269) 945-4229

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Chris Shea

Title

Ceo

Phone

(616) 776-2129

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Barry Communtiy Health Center - Dental Doing business as

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1962800680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034526",
            "telephone_number": "616-965-8200",
            "fax_number": "616-940-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W STATE ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589712",
            "telephone_number": "269-945-4220",
            "fax_number": "269-945-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY STREET SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-776-2129"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HRSA",
            "identifier": "H80CS00770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barry Communtiy Health Center - Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eldon E Cassell, MD
• Brianna Chase, OTRL
• Kathy C. Chase, CCC-A
• Kylee Jean Cheeseman
• Cherry Street Services Inc
• Cherry Street Services, Inc
• Richard J Choryan
• City of Hastings
• Devin Clark
• Sarah Michelle Clark

• Public Health Dentistry in Hastings, MI
• Providers in Hastings, MI by specialty
• Public Health Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.