NPIMap

Organization Active NPI

Blair Family Dentistry

  • General Practice Dentistry
  • Holt, MI
National Provider Identifier
1972932796
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019997 Issued in MI
Legal business name
BLAIR FAMILY DENTISTRY
Practice address
2500 Cedar St
Holt, MI 48842-2158
Phone
(517) 694-3111
Fax
(517) 694-9202
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Kyre Myisha Blair, D.D.S.NPI 1417184003
Title
Dentist
Phone
(734) 255-1195

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901019997 MI Primary

Addresses

Primary practice location

2500 Cedar St
Holt, MI 48842-2158

Mailing address

2500 Cedar St
Holt, MI 48842-2158
Phone (517) 694-3111

National Provider Directory

National Provider Directory

Locations

2500 Cedar St
Holt, MI 48842
Phone (517) 694-3111

Practitioners & affiliated clinicians

Practitioners 3

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1972932796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422158",
            "telephone_number": "517-694-3111",
            "fax_number": "517-694-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422158",
            "telephone_number": "517-694-3111",
            "fax_number": "517-694-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "KYRE",
        "authorized_official_middle_name": "MYISHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-255-1195",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.