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CHERRY STREET SERVICES, INC.
NPI 1336399047
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI

Active since September 30, 2008
550 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 235-7272 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2026, Jun 25, 2024, Oct 26, 2020 and 1 more (4 updates tracked since 2020).

About Cherry Street Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERRY STREET SERVICES, INC. (NPI 1336399047), doing business as School Dental Program, is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since September 2008. The organization lists Tasha Blackmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336399047
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHERRY STREET SERVICES, INC.
Location Address550 CHERRY ST SEGrand Rapids, MI 49503-4748
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526 · (616) 965-8200 · Fax (616) 940-5366
Phone(616) 235-7272
Organization SubpartYes
Authorized OfficialTasha BlackmonCeo · (616) 965-8215
Enumeration DateSeptember 30, 2008
Last NPPES UpdateJanuary 9, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1336399047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentistTaxonomy 122300000X
550 CHERRY ST SE, Grand Rapids, MI 49503
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Other Names 1

Doing Business AsSchool Dental Program

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERRY STREET SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2263
CLAIRE TITCOMBE LMSW, MPA
Social Worker (Clinical)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2112
JONI LYNN DYKEMA
Social Worker
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 235-7272
DR. ENAS KARIM D.D.S.
Dentist (General Practice)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 235-7289
TARA BROWN
Dental Hygienist
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 235-7289
ZUSHA CHAUDHARY DDS
Dentist
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 235-7272
ELLEN MBUNGU
Social Worker (Clinical)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 235-7272
DR. PATRICIA EGGERS ROELS D.D.S
Dentist (General Practice)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 235-7280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cherry Street Services, Inc.'s NPI number?

The NPI number for Cherry Street Services, Inc. is 1336399047. It was assigned to this organization in the NPPES registry on September 30, 2008. The provider is doing business as School Dental Program.

Where is Cherry Street Services, Inc. located?

Cherry Street Services, Inc. is located at 550 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 235-7272.

What is Cherry Street Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Cherry Street Services, Inc. accept?

Health plans from UnitedHealthcare list Cherry Street Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cherry Street Services, Inc. was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.