Organization Active NPI

Alliance Dental II LLC

  • General Practice Dentistry
  • East Lansing, MI
National Provider Identifier
1962946947
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Dec 12, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.