Peter L. Bulthuis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013246 Issued in MI

Practice address

5625 Middlebelt Rd
Garden City, MI 48135-2457

Phone

(734) 422-1332

Fax

(734) 422-1335

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Peter L Bulthuis DDS PC

  • Public Health Dentistry
  • Garden City, MI
  • NPI 1376044909
  NPD (past) Authorized official
• Monroe Smiles PLLC,

  • Dental Clinic/Center
  • Garden City, MI
  • NPI 1912719956
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073637682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8578 GOLFSIDE DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822217",
            "telephone_number": "248-561-6171",
            "fax_number": "734-422-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 MIDDLEBELT RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352457",
            "telephone_number": "734-422-1332",
            "fax_number": "734-422-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTHUIS",
        "first_name": "PETER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Nicole Briscoe
• Brotherhood Inc
• John Brown,II, M.D.
• Stephanie Buchanan, LPC
• Erin Marie Buckeridge, DPT, PT
• Sara Burke, D.O.
• C-Assist
• C-Assist
• Callie SLP
• Michael Low Cardenas, M.D.

• General Practice Dentistry in Garden City, MI
• Providers in Garden City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.