Cornelius William Henry Hoekstra, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2901013103 Issued in MI

Practice address

12350 Riley St
Holland, MI 49424-9219

Phone

(616) 738-9900

Fax

(616) 738-3090

NPI assigned

Aug 9, 2005

Last updated

Nov 28, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1114928454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 RILEY ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249219",
            "telephone_number": "616-738-9900",
            "fax_number": "616-738-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 RILEY ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249219",
            "telephone_number": "616-738-9900",
            "fax_number": "616-738-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 S Beechtree St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172384",
            "country_code": "US",
            "telephone_number": "616-844-5135",
            "fax_number": "616-844-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4330 44th St SW Ste 106",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182349",
            "country_code": "US",
            "telephone_number": "616-530-4710",
            "fax_number": "616-530-0480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Michigan Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234951",
            "country_code": "US",
            "telephone_number": "616-392-2329",
            "fax_number": "616-392-9610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "CORNELIUS WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDICAL",
            "identifier": "9757060030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Klaas Hoekman, M.D.
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• David Bruce Hoeksema, CRNA
• James Henry Hoeksema, PSY.D.
• Alexandria R Hoekstra, LLC
• Maria C Hoekstra, DDS FAGD
• Douglas James Hoey, MD
• Hofbauer Chiropractic LLC
• Charles Russell Hofbauer, DC
• Hoff Counseling PLLC

• Oral & Maxillofacial Surgery (D.M.D.) in Holland, MI
• Providers in Holland, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.