KEVIN KOOIKER


Address: 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262
Phone: 6167762340

KEVIN KOOIKER (NPI# 1356454409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356454409
Entity Type Individual
Full Name KEVIN KOOIKER
Credential D.D.S
Practice Address 101 Sheldon Blvd Se
Grand Rapids
MI 49503-4262
Mailing Address 550 Cherry St Se
Grand Rapids
MI 49503-4748
Practice Telephone 6167762340
Practice Fax Number 6167762341
Mailing Telephone 6162357280
Mailing Fax Number 6167524119
Enumeration Date 2006-08-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2901017902 MI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 4525382 05
MI BCBS D179020 01
MI 4535790 05

Other Providers KEVIN KOOIKER

NPI Name Taxonomy Address Enumeration
1134174949 Kevin Paul Kooiker Emergency Medicine 1515 Lyndale Ave, Eau Claire, WI 54701-4362 2006-05-23

Office Location

Street Address 101 SHELDON BLVD SE
City GRAND RAPIDS
State MI
Zip Code 49503-4262

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043222169 Gwendolyn Hilton Brown Dentist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2006-08-13
1679931158 Amy Broekstra Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2016-01-29
1235594920 Cherry Health Respite Care 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-12-22
1285009373 Kimberley Baranowski Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-12-01
1992178404 Binhan Martineau Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-11-05
1528430774 Carrie Case Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-10-28
1952772907 Carrie Lynn Carr Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-10-16
1669843801 Julie Ann Hilton Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-10-14
1568833648 Wanda Lou Mccane Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-10-14
1134590219 Sheryl Lynn Tucker Dental Hygienist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2015-10-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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