SMILES ON WHEELS (NPI# 1518330992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518330992 |
Entity Type | Organization |
Organization Name | SMILES ON WHEELS |
Practice Address |
1715 Lansing Ave Room 261 Jackson MI 49202-2192 |
Mailing Address |
122 Highland Dr Jackson MI 49201-9164 |
Practice Telephone | 5177407422 |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |
Authorized Official Name | KIM CRABTREE (DENTAL HYGIENIST/OWNER) |
Authorized Official Telephone | 5177402596 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2902016316 | MI | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477611234 | Smiles On Wheels | Dentist | 7040 Mckay, Jackson, MI 49201 | 2006-12-05 |
1821494642 | Smiles On Wheels | Dental Hygienist | 7040 Mckay Rd, Jackson, MI 49201-9261 | 2014-11-05 |
1427487925 | Smiles On Wheels | Clinic/Center | 7040 Mckay Rd, Jackson, MI 49201-9261 | 2013-11-05 |
Street Address |
1715 LANSING AVE ROOM 261 |
City | JACKSON |
State | MI |
Zip Code | 49202-2192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780692400 | Jackson County | Preventive Medicine | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2006-08-05 |
1073032355 | Jackson County | Case Manager/Care Coordinator | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2017-09-18 |
1801123963 | Jennifer Dawn Guthrie | Counselor | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-11 |
1508193046 | Jackson County | Case Management | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
Find all providers in zip 49202 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
1619503349 | Alpine Denitstry | Clinic/Center | 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 | 2020-03-13 |
1790269173 | Chad Brown, D.d.s., P.C. | Clinic/Center | 604 2nd St, Jackson, MN 56143-1646 | 2018-09-20 |
1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
1396903811 | John W. Crowder, D.d.s.,p.c. | Clinic/Center | 209 Oil Well Rd, Jackson, TN 38305-7924 | 2008-05-30 |
1194997775 | Noel K. Toler,jr.,d.d.s.,p.a. | Clinic/Center | 2600 River Ridge Dr, Jackson, MS 39216-5013 | 2008-03-24 |
1124182407 | Choices for Dental | Clinic/Center | 2941 Terry Rd Ste 16, Jackson, MS 39212-3072 | 2006-12-20 |
1982787073 | G. Robert Hopper, D.d.s., P.C. | Clinic/Center | 468 N Parkway, Jackson, TN 38305-2857 | 2006-10-23 |
1508958133 | Mid South Dental Center of Jackson | Clinic/Center | 5685 Hwy 18 West, Jackson, MS 39209 | 2006-09-29 |
1225642242 | Lifetime Dental Care Pllc | Clinic/Center | 2528 Spring Arbor Rd, Jackson, MI 49203-3602 | 2020-09-08 |
Find all providers in JACKSON |
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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.