Jenison Family Denistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JENISON FAMILY DENISTRY, PLLC

Practice address

597 Baldwin St
Jenison, MI 49428-7994

Phone

(616) 457-0450

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Melissa Schroeder

Title

Practice Manager

Phone

(248) 674-0495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1982091575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287994",
            "telephone_number": "616-457-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287994",
            "telephone_number": "616-457-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENISON FAMILY DENISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-674-0495"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Jacobs
• Kalee James
• Jane Boeschenstein DDS PC
• Mark Jary, MD
• Jason R. Manning, PLC
• Jenison Podiatry PC
• Carley Anne Jewell, M.A., BCBA
• John F McMahon DDS, PLC
• Cheyanne Johnson, RBT
• Jesse Johnson

• General Practice Dentistry in Jenison, MI
• Providers in Jenison, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.