Center for Breast & Body Contouring PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301406022 Issued in MI

Legal business name

CENTER FOR BREAST & BODY CONTOURING PC

Practice address

4070 Lake Dr SE
Suite 202
Grand Rapids, MI 49546-8294

Phone

(616) 464-4420

Fax

(616) 464-4354

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis C Hammond, MDNPI 1508808536

Title

Owner President

Phone

(616) 464-4420

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Dennis C. Hammond, M.D.

  • Plastic Surgery Physician
  • Grand Rapids, MI
  • NPI 1508808536
  Medicare reassignment Care Compare group NPD Authorized official
• Paige Catherine Goote, MD

  • Plastic Surgery Physician
  • Grand Rapids, MI
  • NPI 1972000156
  Medicare reassignment Care Compare group NPD
• Terri A Zomerlei, MD

  • Plastic Surgery Physician
  • East Lansing, MI
  • NPI 1861530438
  Medicare reassignment NPD
• Eric Yu Kit Li, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Campbell, CA
  • NPI 1780030478

  MI

  Medicare reassignment NPD
• James Donald Goggin, M.D.

  • Plastic Surgery Physician
  • Temple, TX
  • NPI 1679824759
  NPD
• Alexander Philipp Mayer, M.D.

  • Plastic Surgery Physician
  • Augusta, ME
  • NPI 1336535798
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1194755306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-464-4420",
            "fax_number": "616-464-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-464-4420",
            "fax_number": "616-464-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BREAST & BODY CONTOURING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "616-464-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301406022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4362920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayse P Cemeroglu, MD
• Samantha Rose Cencer, DO
• Centennial Park Counseling, PLLC
• Maria Isabel Centeno-Ramirez
• Center for Adolescent and Child Neurology
• Center for Physical Rehabilitation and Therapy LP
• Center for Physical Rehabilitation Inc
• Center for Vein Restoration Mi PLLC
• Centered Counseling & Coaching LLC
• Centered Self Mental Health Services, LLC

• Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.