Organization Active NPI

Scott Vanslambrouck Dentistry, PC

  • Dental Clinic/Center
  • Holland, MI
National Provider Identifier
1124731831
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SCOTT VANSLAMBROUCK DENTISTRY, PC
Practice address
455 Butternut Dr
Holland, MI 49424-1503
Phone
(616) 394-4700
Fax
(616) 394-4883
NPI assigned
Dec 28, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Stephanie Taylor
Title
Office Manager
Phone
(616) 394-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

455 Butternut Dr
Holland, MI 49424-1503

Mailing address

455 Butternut Dr
Holland, MI 49424-1503
Phone (616) 394-4700

National Provider Directory

National Provider Directory

Locations

455 Butternut Dr
Holland, MI 49424
Phone (616) 394-4700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1124731831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BUTTERNUT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241503",
            "telephone_number": "616-394-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BUTTERNUT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241503",
            "telephone_number": "616-394-4700",
            "fax_number": "616-394-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT VANSLAMBROUCK DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-394-4700"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.