David L. Renzema, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

014772 Issued in MI

Practice address

532 Michigan Ave
Holland, MI 49423-4721

Phone

(616) 396-8320

Fax

(616) 396-8764

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert Dale Renzema

  • Dental Clinic/Center
  • Holland, MI
  • NPI 1194204636
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063411205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234721",
            "telephone_number": "616-396-8320",
            "fax_number": "616-396-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234721",
            "telephone_number": "616-396-8320",
            "fax_number": "616-396-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZEMA",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "014772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857629",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathon M Reither, MD
• Madison Remenschneider
• Neil Philip Renaud, OD
• Melina Maria Renedo
• Renewed Hope Counseling Services
• Robert D Renzema, DDS
• Resolved Hope, Inc.
• Resthaven
• Resthaven
• Resthaven

• Dentist in Holland, MI
• Providers in Holland, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.