Individual provider Active NPI

Betsey Jo Baumann-Smeenge, DDS MS

  • Pediatric Dentistry
  • White Cloud, MI
National Provider Identifier
1962910398
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901022472 Issued in MI
Practice address
1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone
(231) 689-1608
Fax
(231) 689-3162
NPI assigned
Jan 19, 2018
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901022472 MI
Pediatric Dentistry 1223P0221X 2901022472 MI Primary

Addresses

Primary practice location

1035 E Wilcox Ave
White Cloud, MI 49349-8794

Mailing address

1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-2736

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address betsey.baumannsmeenge.p1@direct.bfhc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624002519 MI Practitioner - Dentist 3173945979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Mar 25, 2020 Accepting new patients
Baldwin Family Health Care CurrentSince Mar 25, 2020 Accepting new patients
Baldwin Family Health Care Current Accepting new patients
Baldwin Family Health Care Past Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

Interoperability endpoints

  • Direct secure messaging: betsey.baumannsmeenge.p1@direct.bfhc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1962910398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 MICHIGAN AVE",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047984",
            "telephone_number": "231-745-2736",
            "fax_number": "231-745-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E WILCOX AVE",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498794",
            "telephone_number": "231-689-1608",
            "fax_number": "231-689-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN-SMEENGE",
        "first_name": "BETSEY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022472",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901022472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "betsey.baumannsmeenge.p1@direct.bfhc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1035 E Wilcox Ave",
            "city": "White Cloud",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493498794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

Verify at the official NPI Registry.