EDP OF MI, PC (NPI# 1811403959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811403959 |
| Entity Type | Organization |
| Organization Name | EDP OF MI, PC |
| Practice Address |
1500 44th St Se Grand Rapids MI 49508-4651 |
| Mailing Address |
141 W Jackson Blvd Ste 210 Chicago IL 60604-3048 |
| Practice Telephone | 6165329070 |
| Mailing Telephone | 3129373619 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | ROSEANNE BRUNENKANT (DIRECTOR OF INTEGRATIONS) |
| Authorized Official Telephone | 3129373619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 44th St Se, Grand Rapids, MI 495084651 | 6165329070 | |
| 19178 W 10 Mile Rd, Southfield, MI 480752445 | 2483541555 | |
| 2300 Haggerty Rd Ste 2040, West Bloomfield, MI 483232189 | 2486240008 | |
| 27115 Gratiot Ave, Roseville, MI 480662900 | 2483541555 | |
| 4345 Sawkaw Dr Ne Ste 4, Grand Rapids, MI 495256517 | 6163644219 | |
| 50 North Ave, Battle Creek, MI 490173415 | 2699684024 | |
| 8080 Moorsbridge Rd Ste 101, Portage, MI 490244422 | 2693233020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804919 | Edp of Mi, PC | Clinic/Center | 1640 Fort St, Trenton, MI 48183-2040 | 2019-08-01 |
| Street Address |
1500 44TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710168612 | Michael Steven Mccoy | Dentist | 1500 44th St Se, Grand Rapids, MI 49508-4651 | 2007-11-19 |
| 1265599807 | Steven Mccoy | Dentist | 1500 44th St Se, Grand Rapids, MI 49508-4651 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| 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 |
| 1023627163 | Grand Ridge Family Dentistry | Clinic/Center | 3350 Grand Ridge Dr Ne, Grand Rapids, MI 49525-7071 | 2020-07-24 |
| 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 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on EDP OF MI, PC.
| 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.