DR. DANIEL JAMES ROBERTS (NPI# 1194834002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194834002 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JAMES ROBERTS |
| Credential | DDS |
| Practice Address |
2554 Woodmeadow Dr Se Ste B Grand Rapids MI 49546-8033 |
| Practice Telephone | 6162754920 |
| Mailing Telephone | 6162754920 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901019438 | MI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 Main St, Coopersville, MI 494041231 | 6168376100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730431586 | Daniel Roberts | Social Worker | 730 E Park Ave, Tallahassee, FL 32301-2619 | 2012-10-03 |
| 1275848574 | Daniel James Roberts Jr. | Occupational Therapy Assistant | One West Park Circle, Suite 108, Midlothian, VA 23114 | 2010-08-11 |
| 1508187220 | Daniel G Roberts | Counselor | 716 Main St # 205, Alamosa, CO 81101-2540 | 2010-06-16 |
| 1780904995 | Daniel Thomas Roberts | Physical Therapy Assistant | 168 Massachusetts Ave # Ss 2890, Boston, MA 02115-3010 | 2010-06-10 |
| 1457590341 | Daniel Roberts | Physical Therapist | 3135 Kirby Whitten Rd Ste 105, Bartlett, TN 38134-2860 | 2009-02-17 |
| 1558490045 | Daniel Dean Roberts | Dentist | 761 Garden View Court Ste 102, Encinitas, CA 92024 | 2007-03-02 |
| 1588706774 | Daniel Martin Roberts | Specialist/Technologist, Other | 53028 Glenmoor St, Elkhart, IN 46514-8923 | 2007-02-13 |
| 1295738813 | Daniel W Roberts | Physical Therapist | 707 S Park St, Deer Park, WA 99006-0948 | 2005-05-27 |
| 1497211122 | Daniel T Roberts | Community Health Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2019-02-19 |
| 1235530759 | Daniel Roberts | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Shock Trauma Centre, Baltimore, MD 21201-1544 | 2014-09-16 |
| Street Address |
2554 WOODMEADOW DR SE STE B |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8033 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265059570 | Samuel T. Bander, Dds, Plc | Dentist | 1151 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-8369 | 2020-07-02 |
| 1295360428 | Dj Edgerle, Dds, PC | Dentist | 751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391 | 2020-03-09 |
| 1639638265 | Mark E Peterson, Dds | Dentist | 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830 | 2019-03-13 |
| 1811463730 | Ryan C. Van Haren, Dds Pllc | Dentist | 2144 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6111 | 2018-10-18 |
| 1386138881 | Jayson Lynn Clore | Dentist | 334 68th St Sw, Grand Rapids, MI 49548-7179 | 2018-06-18 |
| 1154788230 | Kb Family Dentistry Plc | Dentist | 3167 Kalamazoo Ave Se # 1, Grand Rapids, MI 49508-1475 | 2016-01-21 |
| 1821471616 | Healthy Smile Plc | Dentist | 2021 44th St Sw, Grand Rapids, MI 49508 | 2015-06-30 |
| 1841694387 | Jerry B. Mulder Dds Plc | Dentist | 515 Michigan St Ne Ste 202, Grand Rapids, MI 49503-5721 | 2014-10-13 |
| 1609277854 | Alexis Neuman | Dentist | 3930 Burton St Se, Grand Rapids, MI 49546-5819 | 2014-09-08 |
| 1124439476 | Bryton Mansfield | Dentist | 1636 Leonard St Nw, Grand Rapids, MI 49504-3950 | 2014-05-08 |
| 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.