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CAREPOINT DENTAL ANESTHESIA GROUP OF MICHIGAN PLLC NPI 1487262820


NPI Information

NPI: 1487262820
Provider Name: CAREPOINT DENTAL ANESTHESIA GROUP OF MICHIGAN, PLLC

Other Name: CAREPOINT DENTAL ANESTHESIA GROUP OF MICHIGAN, PLLC

Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
1179 E PARIS AVE SE STE 130
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 226-1370
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CAREPOINT DENTAL ANESTHESIA GROUP OF MICHIGAN, PLLC is a dentist anesthesiologist dentist in Grand Rapids, MI. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. CAREPOINT DENTAL ANESTHESIA GROUP OF MICHIGAN, PLLC NPI is 1487262820. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Carepoint Dental Anesthesia Group Of Michigan, Pllc.

The provider's business location address is:

1179 E PARIS AVE SE STE 130
GRAND RAPIDS, MI
ZIP 49546-682
Phone: (616) 226-1370
Fax: (616) 327-6370

The provider's authorized official is Joshua Jackstien .
The authorized official title is Owner/managing Partner and has the following contact phone number (720) 414-3611.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 4/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223D0004XDentistDentist AnesthesiologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141489268MEDICAIDCOLORADO
29000193309MEDICAIDCOLORADO
313430734MEDICAIDCOLORADO
41750728119OTHERHEALTHY KIDS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.