IndividualActive
Dennis Mogle, DO
NPI 1891742979 · Pediatrics Physician · Grand Rapids, MI
Provider details
- NPI number
- 1891742979
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101006918 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1545 68th St
Suite 100
Grand Rapids, MI 49508
Phone: (616) 534-9881
Street-level locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2015-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.