MICHAEL JOHN MAUREN (NPI# 1245432780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245432780 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN MAUREN |
| Credential | D.D.S. |
| Practice Address |
9751 E Grand River Ave Portland MI 48875-9774 |
| Practice Telephone | 5176470081 |
| Practice Fax Number | 5176470083 |
| Mailing Telephone | 5176470081 |
| Mailing Fax Number | 5176470083 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901015857 | MI | Dental Providers |
| Street Address |
9751 E GRAND RIVER AVE |
| City | PORTLAND |
| State | MI |
| Zip Code | 48875-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588627657 | Ryan Koolen | Chiropractor | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2006-04-10 |
| 1164811840 | Ashley M Cohoon | Chiropractor | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2015-01-17 |
| 1609011923 | Ionia County Memorial Hospital | Clinic/Center | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2008-12-16 |
| 1164577698 | Craft Chiropractic Center PC | Chiropractor | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2007-01-24 |
| 1295801108 | Sparrow Ionia Hospital | Family Medicine | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2006-11-24 |
| 1144250267 | Penny L Thompson | Nurse Practitioner | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750635025 | Gretchen Findlay | Speech-Language Pathologist | 1330 E. Grand River Ave., Suite B, Portland, MI 48875 | 2012-11-07 |
| 1902970734 | Roger Duane Miller | Dentist | 811 West Grand River Ave, Portland, MI 48875 | 2006-11-20 |
| 1174612618 | Tom's Pharmacy LLC | Pharmacy | 1462 E Grand River Ave, Portland, MI 48875 | 2006-10-12 |
| 1033168828 | Jami M. Schneider | Dentist | 119 Bridge St., Portland, MI 48875 | 2006-05-09 |
| 1134197593 | Charlene Ann Pahl | Social Worker | 212 Kent St Ste 5, Child and Family Wellness Counseling Ctr, Portland, MI 48875 | 2006-03-10 |
| 1932187911 | Suzanne R Maystead | Optometrist | 1311 E Bridge Street, Portland, MI 48875 | 2006-01-09 |
| 1407143811 | Nicole Ann Mccrumb | Pharmacist | 1339 E Grand River Ave, Portland, MI 48875 | 2011-07-06 |
| 1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
| 1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
| 1750574950 | Judy Ann Fryover | Nurse Practitioner | 427 W Grand River Ave, Portland, MI 48875-1122 | 2007-08-21 |
| Find all providers in zip 48875 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
| 1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
| 1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
| 1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
| 1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
| 1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
| 1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
| 1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
| 1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.