Organization Active NPI

Thornapple River Dentistry PLLC

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1093668691
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THORNAPPLE RIVER DENTISTRY PLLC
Practice address
6715 Old 28TH St SE
Grand Rapids, MI 49546-6923
Phone
(616) 949-0730
NPI assigned
Feb 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Andra Trapp, DDSNPI 1205333705
Title
Owner
Phone
(616) 914-8619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6715 Old 28TH St SE
Grand Rapids, MI 49546-6923

Mailing address

6800 Adaside Dr SE
Ada, MI 49301-9161
Phone (616) 914-8619

National Provider Directory

National Provider Directory

Locations

6715 Old 28th St SE
Grand Rapids, MI 49546
Phone (616) 949-0730

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1093668691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 ADASIDE DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019161",
            "telephone_number": "616-914-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 OLD 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466923",
            "telephone_number": "616-949-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNAPPLE RIVER DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-914-8619",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.