Active NPI
Blue Star Family Dentistry
- Dental Clinic/Center
- South Haven, MI
National Provider Identifier
1992612428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BLUE STAR FAMILY DENTISTRY
- Practice address
- 05055 Blue Star M Hwy
South Haven, MI 49090-7135 - Phone
- (248) 917-8048
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Schultz, DMD
- Title
- Practice Owner
- Phone
- (248) 917-8048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
05055 Blue Star M Hwy
South Haven, MI 49090-7135
Mailing address
4737 Macatawa Legends Blvd
Holland, MI 49424-7453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1992612428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4737 MACATAWA LEGENDS BLVD",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "05055 BLUE STAR M HWY",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490907135",
"telephone_number": "248-917-8048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE STAR FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "248-917-8048",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.