NPIMap

Organization Active NPI

West Shore Orthodontics

  • Dentist
  • Muskegon, MI
National Provider Identifier
1992816177
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901011382 Issued in MI
Legal business name
WEST SHORE ORTHODONTICS
Practice address
1150 E Sherman Blvd
Suite 2700
Muskegon, MI 49444
Phone
(231) 737-0001
Fax
(231) 737-9298
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle L Stout
Title
Front Desk Supervisor
Phone
(231) 737-0001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2901011382 MI Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2901007277 MI

Addresses

Primary practice location

1150 E Sherman Blvd
Suite 2700
Muskegon, MI 49444

Mailing address

1150 E Sherman Blvd
Suite 2700
Muskegon, MI 49444
Phone (231) 737-0001

Other names 1

  • Drs Hogan & Dickinson Former legal business name

National Provider Directory

National Provider Directory

Locations

1150 E Sherman Blvd
Ste 2700
Muskegon, MI 49444
Phone (231) 737-0001

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992816177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD",
            "address_2": "SUITE 2700",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-737-0001",
            "fax_number": "231-737-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD",
            "address_2": "SUITE 2700",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-737-0001",
            "fax_number": "231-737-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FRONT DESK SUPERVISOR",
        "authorized_official_telephone_number": "231-737-0001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901011382",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901007277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Hogan & Dickinson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.