DR. RICHARD ALAN NEZWEK (NPI# 1083704035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083704035 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ALAN NEZWEK |
| Other Name | RICHARD A NEZWEK |
| Credential | DDS MS PC |
| Practice Address |
4450 Cascade Rd Se Grand Rapids MI 49546-3697 |
| Practice Telephone | 6169570651 |
| Practice Fax Number | 6169573138 |
| Mailing Telephone | 6169570651 |
| Mailing Fax Number | 6169573138 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
09777 | MI | Dental Providers |
| Street Address |
4450 CASCADE RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574482 | Russell T Neher | Physical Therapy Assistant | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2020-09-25 |
| 1407493851 | John Hart | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2019-12-04 |
| 1639714447 | Pamela Jean Woodruff | Occupational Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2019-11-15 |
| 1922574342 | Kimberly Sue Ball | Speech-Language Pathologist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-10-24 |
| 1528545415 | Shelly Germaine Teesdale | Occupational Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-07-24 |
| 1366928632 | Pamela Kay Dykehouse | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-07-19 |
| 1871079632 | Anne Therese Lukshaitis | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-07-16 |
| 1598241481 | Bradley James Kuipers | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-07-14 |
| 1780899245 | Porter Hills Services | Case Management | 4450 Cascade Rd Se, Suite 100, Grand Rapids, MI 49546-8330 | 2007-05-10 |
| 1114130499 | Porter Hills Retirement Communities & Services | Case Management | 4450 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546-8330 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679855761 | Modern Periodontics | Dentist | 2356 32nd Street, Suite #100, Grand Rapids, MI 49508-1510 | 2011-09-14 |
| 1316266000 | Christopher John Leja | Dentist | 4880 Cascade Rd Se Suite B, Grand Rapids, MI 49546 | 2010-05-20 |
| 1922293851 | James C. Papp, Dmd, Plc | Dentist | 4880 Cascade Rd Se Ste B, Grand Rapids, MI 49546-3701 | 2007-09-13 |
| 1386780666 | Kathleen Marie Eisin | Dentist | 6677 Crossings Drive Se, Suite #3, Grand Rapids, MI 49508 | 2007-01-30 |
| 1619079365 | Norman R Wilhelmsen | Dentist | 255 Washington St Se, Grand Rapids, MI 49503-4350 | 2006-09-02 |
| 1770585879 | David Lamberts, Dds,pc | Dentist | 5510 Cascade Rd Se, Grand Rapids, MI 49546-6496 | 2005-06-02 |
| 1922266741 | Brian Cilla Dds Ms PC | Dentist | 1525 East Beltline Ne, Suite 201, Grand Rapids, MI 49525 | 2008-05-29 |
| 1649483751 | David M Lamberts | Dentist | 5510 Cascade Rd Se, Grand Rapids, MI 49546-6496 | 2007-05-07 |
| 1619196060 | Kathleen M. Eisin, Dds Ms Pllc | Dentist | 6677 Crossings Drive Se, Suite 3, Grand Rapids, MI 49508 | 2007-04-24 |
| 1275613838 | James Christopher Papp | Dentist | 4880 Cascade Rd Se, Suite B, Grand Rapids, MI 49546-3721 | 2006-10-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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| 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.