UNITED WAY OF NORTHWEST MICHIGAN
NPI 1114630415
Clinic/Center - Dental in Traverse City, MI

NPI Status: Active since January 02, 2023

Contact Information

4075 COPPER RIDGE DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 844-4601
Fax: (231) 844-4603

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About UNITED WAY OF NORTHWEST MICHIGAN

This page provides the complete NPI Profile along with additional information for United Way Of Northwest Michigan, a provider established in Traverse City, Michigan operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1114630415 assigned on January 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is United Way Of Northwest Michigan. The authorized official of this NPI record is Mrs. Jennifer Kerns Bs, Rdh (Director Of Health Initiatives)

NPI
1114630415
Provider Legal Name
UNITED WE SMILE
Other Organization Name
UNITED WAY OF NORTHWEST MICHIGAN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4075 COPPER RIDGE DR TRAVERSE CITY, MI 49684
Location Phone
(231) 844-4601
Location Fax
(231) 844-4603
Mailing Address
4075 COPPER RIDGE DR TRAVERSE CITY, MI 49684
Mailing Phone
(231) 844-4601
Mailing Fax
(231) 844-4603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2023
Last Update Date
04-05-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Dental EPO 80/50/50 (0/0/0) - EPO
  • Blue Dental PPO 100/50/50 (50/50/50) - PPO
  • Blue Dental PPO 100/70/50 (80/60/50) - PPO
  • Blue Dental PPO 80/50/50 (50/50/50) - PPO
  • Blue Dental PPO Pediatric 80/50/50 (50/50/50) - PPO
  • Blue Dental PPO Plus 80/60/50 - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER KERNS BS, RDH

Authorized Official Title
DIRECTOR OF HEALTH INITIATIVES
Authorized Official Phone
(231) 844-4601

Reviews for UNITED WAY OF NORTHWEST MICHIGAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114630415
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124123042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 2 + 3 + 0 + 4 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1114630415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942365275DR. BOB M WILLIAMS M.D.
Individual
Emergency Medicine4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(800) 253-5358
1699965863MRS. GINA R MIDDLEBROOK FNP
Individual
Nurse Practitioner4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(804) 289-4605
1730342247MR. SUNIL DAVID MADDIRALA MD
Individual
Pediatrics4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(888) 632-0544
1053545657MR. HOWARD V. TYREE PA-C
Individual
Physician Assistant4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(231) 946-8970
1114158565 GEORGE LAWRENCE FICHTER PA-C
Individual
Physician Assistant (Medical)4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(888) 632-0545
1821322629MS. MELANIE M. ROHAN PA-C
Individual
Physician Assistant4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(888) 632-0544
1609953231MS. MONICA M WELLINGS PA-C
Individual
Physician Assistant4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(888) 632-1085
1568614907 MELISSA A CALIO PA-C
Individual
Physician Assistant4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(888) 632-0544
1457657454 JESSICA LEIGH KERNODLE PA-C
Individual
Physician Assistant4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(231) 946-8970
1881650935MS. DARNELL B GANLEY P.A.
Individual
Physician Assistant4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(800) 253-1795
1801227392MRS. NATALIE SAUNDERS WISE FNP
Individual
Nurse Practitioner (Family)4075 COPPER RIDGE DR
TRAVERSE, MI 49684
(321) 946-8970
1922878743 KERRY FULCHER
Individual
Social Worker4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(231) 844-4601
1326157413DR. DAVID J CARLISLE DDS
Individual
Dentist (General Practice)4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684
(231) 844-4601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114630415, enumerated in the NPI registry as an "organization" on January 02, 2023

The provider is located at 4075 Copper Ridge Dr Traverse City, Mi 49684 and the phone number is (231) 844-4601

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 02, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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