OrganizationActive
Cherry Street Services, Inc.
NPI 1336399047 · Federally Qualified Health Center (FQHC) · Grand Rapids, MI
Provider details
- NPI number
- 1336399047
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Cherry Street Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Tasha Blackmon, Ceo(616) 965-8215
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dentist122300000X
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Cherry St Se
Grand Rapids, MI 49503-4748
Phone: (616) 235-7272
Street-level locationGet directions
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Other names (DBA / former)
- Doing business as
- School Dental Program
- Doing business as
- School Dental Program
Registry dates
- Enumerated
- 2008-09-30
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.