NPIMap

Organization Active NPI

Boss and Rorvik Family Dental, PLLC

  • Dental Clinic/Center
  • Midland, MI
National Provider Identifier
1972126126
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BOSS AND RORVIK FAMILY DENTAL, PLLC
Doing business as
Boss & Rorvik Family Dental and Dental Sleep Therapy
Practice address
1504 Harcrest Dr Ste 2
Midland, MI 48640-4717
Phone
(989) 631-2900
Fax
(989) 631-2915
NPI assigned
May 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Dr. Kirstin Jennifer Rorvik, DMDNPI 1447350608
Title
Dentist/Owner
Phone
(617) 230-4839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1504 Harcrest Dr Ste 2
Midland, MI 48640-4717

Mailing address

1504 Harcrest Dr Ste 2
Midland, MI 48640-4717
Phone (989) 631-2900

Other names 1

  • Boss & Rorvik Family Dental and Dental Sleep Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Smilemidland@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

1504 Harcrest Dr
Ste 2
Midland, MI 48640
Phone (989) 631-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1972126126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 HARCREST DR STE 2",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404717",
            "telephone_number": "989-631-2900",
            "fax_number": "989-631-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 HARCREST DR STE 2",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404717",
            "telephone_number": "989-631-2900",
            "fax_number": "989-631-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS AND RORVIK FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "RORVIK",
        "authorized_official_first_name": "KIRSTIN",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "617-230-4839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Smilemidland@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "1504 Harcrest Dr Ste 2",
            "city": "Midland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486404717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boss & Rorvik Family Dental and Dental Sleep Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boss & Rorvik Family Dental and Dental Sleep Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.