Active NPI
Alliance Dental II LLC
- General Practice Dentistry
- East Lansing, MI
National Provider Identifier
1962946947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ALLIANCE DENTAL II LLC
- Practice address
- 604 Michigan Ave
East Lansing, MI 48823-4219 - Phone
- (517) 332-8665
- Fax
- (517) 332-1036
- NPI assigned
- Dec 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norman Westervelt
- Title
- Ceo/Cfo
- Phone
- (801) 592-6995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | MI | Primary |
Addresses
Primary practice location
604 Michigan Ave
East Lansing, MI 48823-4219
Mailing address
PO Box 3066
Elida, OH 45807-0066
Phone (419) 230-2105
Other names 1
- Caring Convenient Dentistry of East Lansing
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481500800000",
"number": "1962946947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3066",
"city": "ELIDA",
"state": "OH",
"postal_code": "458070066",
"telephone_number": "419-230-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 MICHIGAN AVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488234219",
"telephone_number": "517-332-8665",
"fax_number": "517-332-1036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE DENTAL II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A",
"authorized_official_last_name": "WESTERVELT",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "CEO/CFO",
"authorized_official_telephone_number": "801-592-6995"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Caring Convenient Dentistry of East Lansing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.