Organization Active NPI

Northpointe Family Dental

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1992154769
Registry record updated Jun 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020884 Issued in MI
Legal business name
NORTHPOINTE FAMILY DENTAL
Practice address
680 3 Mile Rd NW
Grand Rapids, MI 49544-8218
Phone
(347) 369-9277
NPI assigned
Jun 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2016

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

Authorized official

Name
Suk Jun Yun, DDS
Title
Owner
Phone
(347) 369-9277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901020884 MI Primary

Addresses

Primary practice location

680 3 Mile Rd NW
Grand Rapids, MI 49544-8218

Mailing address

680 3 Mile Rd NW
Grand Rapids, MI 49544-8218
Phone (347) 369-9277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465689600000",
    "number": "1992154769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 3 MILE RD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448218",
            "telephone_number": "347-369-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 3 MILE RD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448218",
            "telephone_number": "347-369-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPOINTE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-12",
        "last_updated": "2016-06-12",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "SUK JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-369-9277",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

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