GRAND RIDGE FAMILY DENTISTRY (NPI# 1023627163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023627163 |
| Entity Type | Organization |
| Organization Name | GRAND RIDGE FAMILY DENTISTRY |
| Practice Address |
3350 Grand Ridge Dr Ne Grand Rapids MI 49525-7071 |
| Practice Telephone | 6164477800 |
| Practice Fax Number | 6164479611 |
| Mailing Telephone | 6164477800 |
| Mailing Fax Number | 6164479611 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | JOHN DANIEL LEWIS (PROPRIETOR) |
| Authorized Official Telephone | 6164477800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3350 GRAND RIDGE DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-7071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1720685399 | Elias Dental Lab | Clinic/Center | 535 Greenwood Ave Se Ste 100, Grand Rapids, MI 49506-2901 | 2020-10-06 |
| 1780291815 | Met & Associates, Plc | Clinic/Center | 2140b Wealthy St Se, Grand Rapids, MI 49506-3032 | 2020-09-23 |
| 1568075786 | D & J Dental Holdings Pllc | Clinic/Center | 2249 Wealthy St Se Ste 100, Grand Rapids, MI 49506-3055 | 2020-08-27 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1801060702 | Randall W. Chambers, Dds, PC | Clinic/Center | 6143 28th St Se, Grand Rapids, MI 49546-6941 | 2008-04-22 |
| 1194855155 | County of Kent | Clinic/Center | 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2007-03-07 |
| 1114524881 | Joshua Palmateer Dmd and Katelyn Palmateer Dmd, Pllc | Clinic/Center | 4701 Plainfield Ave Ne, Grand Rapids, MI 49525-1644 | 2020-10-06 |
| 1699380584 | Vander Linde Family and Cosmetic Dentistry | Clinic/Center | 2609 Breton Rd Se, Grand Rapids, MI 49546-5631 | 2020-09-09 |
| 1669087433 | Leonard J Bartoszewicz, Dds | Clinic/Center | 2003 Burton St Se, Grand Rapids, MI 49506-4600 | 2020-09-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on GRAND RIDGE FAMILY DENTISTRY.
| 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.