Organization Active NPI

Midwest Family Dental Care-Kokomo PC

Doing business as Northview Dental of Kokomo

  • Dental Clinic/Center
  • Kokomo, IN
National Provider Identifier
1982288007
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIDWEST FAMILY DENTAL CARE-KOKOMO PC
Doing business as
Northview Dental of Kokomo
Practice address
2714 Rockford LN
Kokomo, IN 46902-3204
Phone
(765) 453-9040
Fax
(616) 469-1036
NPI assigned
May 6, 2021
Last updated
May 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Jessica Martinez
Title
Billing Manager
Phone
(269) 388-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2714 Rockford LN
Kokomo, IN 46902-3204

Mailing address

4025 W Main St Ste 102
Kalamazoo, MI 49006-3726
Phone (269) 388-5832

Other names 1

  • Northview Dental of Kokomo Doing business as

National Provider Directory

National Provider Directory

Locations

2714 Rockford Ln
Kokomo, IN 46902
Phone (765) 453-9040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1982288007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W MAIN ST STE 102",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063726",
            "telephone_number": "269-388-5832",
            "fax_number": "616-469-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 ROCKFORD LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023204",
            "telephone_number": "765-453-9040",
            "fax_number": "616-469-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FAMILY DENTAL CARE-KOKOMO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "269-388-5832"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northview Dental of Kokomo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.