CHERRY STREET SERVICES INC (NPI# 1962800680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962800680 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES INC |
| Other Organization Name | BARRY COMMUNTIY HEALTH CENTER - DENTAL |
| Practice Address |
1230 W State St Hastings MI 49058-9712 |
| Mailing Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 2699454220 |
| Practice Fax Number | 2699454229 |
| Mailing Telephone | 6169658200 |
| Mailing Fax Number | 6169405366 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | CHRIS SHEA (CEO) |
| Authorized Official Telephone | 6167762129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HRSA | H80CS00770 | 01 |
| Other Name | Type Code |
|---|---|
| Barry Communtiy Health Center - Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
| 1184974263 | Cherry Street Services Inc | Counselor | 2929 Burlingame Ave Sw, Wyoming, MI 49509-2609 | 2012-09-14 |
| 1346600905 | Cherry Street Services Inc | Clinic/Center | 1611 Oak Ave, Muskegon, MI 49442-2468 | 2016-02-25 |
| 1427438944 | Cherry Street Services Inc | Clinic/Center | 1033 Healthcare Dr, Charlotte, MI 48813-1058 | 2015-06-01 |
| 1184015539 | Cherry Street Services Inc | Clinic/Center | 204 E Muskegon St, Cedar Springs, MI 49319-9326 | 2015-02-06 |
| 1316340094 | Cherry Street Services Inc | Social Worker | 421 Fountain St Ne, Grand Rapids, MI 49503-3334 | 2014-10-08 |
| 1801298716 | Cherry Street Services Inc | Counselor | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2014-09-23 |
| 1396165601 | Cherry Street Services Inc | Dentist | 100 Cherry Street, Grand Rapids, MI 49503 | 2014-04-25 |
| 1265862841 | Cherry Street Services Inc | Social Worker | 330 W Woodlawn Ave, Hastings, MI 49058-1035 | 2013-11-19 |
| Street Address |
1230 W STATE ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942574041 | Freely Given, Inc | Clinic/Center | 1230 W State St, Hastings, MI 49058-9712 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211924 | Spencer P Barnes | Dentist | 300 Meadow Run Dr Ste 2, Hastings, MI 49058-9048 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058097 | Jean M Stolt | Dentist | 3434 M 119 Ste G, Harbor Springs, MI 49740-9373 | 2019-11-25 |
| 1508332032 | Smile North Muskegon PC | Dentist | 1915 Holton Rd Ste C, North Muskegon, MI 49445-1533 | 2018-10-23 |
| 1033620703 | All About Smiles Canton P.c | Dentist | 42180 Ford Rd Ste 301, Canton, MI 48187-3677 | 2017-10-20 |
| 1073963831 | Trevor Allen Coeling | Dentist | 628 Progress St, West Branch, MI 48661-9383 | 2016-06-13 |
| 1508229014 | Brightsmiles | Dentist | 33060 Northwestern Hwy, Suit 200, West Bloomfield, MI 48322-3693 | 2016-04-01 |
| 1073997441 | Rami Essak | Dentist | 24100 Drake Rd Ste C, Farmington Hills, MI 48335-3155 | 2015-07-16 |
| 1023404068 | Portable Smiles Consulting LLC | Dentist | 41962 Trent Ct, Canton, MI 48188-5208 | 2015-04-07 |
| 1417348129 | Acurate Mobile Medical Health Systems | Dentist | 20880 Gratiot Ave Ste 111, Eastpointe, MI 48021-2816 | 2015-02-17 |
| 1750782504 | George Daniel | Dentist | 200 Riverfront Dr Apt 3i, Detroit, MI 48226-4592 | 2014-09-11 |
| 1497026967 | Ronald Joseph Paler | Dentist | 5771 Lake Ridge Dr, Brighton, MI 48116-7760 | 2012-01-15 |
| Find all providers with the same taxonomy | ||||
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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.