Individual provider Active NPI

Jeremy Hess, DDS

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1235422312
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020387 Issued in MI
Practice address
6677 Crossings Dr SE
Grand Rapids, MI 49508-7889
Phone
(616) 656-2400
NPI assigned
May 23, 2011
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020387 MI Primary

Addresses

Primary practice location

6677 Crossings Dr SE
Grand Rapids, MI 49508-7889

Mailing address

6677 Crossings Dr SE Ste 4
Grand Rapids, MI 49508-7889
Phone (616) 871-9604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513000350 MI Order and Referring Only - DentistPractitioner - Dentist 1658660709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020387MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
GR Sound Sleep LLC General Practice CurrentSince Sep 18, 2019 Accepting new patients
Leland D. Zuidema DDS P.C. General Practice Past Accepting new patients

Locations

6677 Crossings Dr SE
Ste 4
Grand Rapids, MI 49508
Phone (616) 871-9605

4475 Wilson Ave SW
Ste 8
Grandville, MI 49418

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1235422312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 CROSSINGS DR SE STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087889",
            "telephone_number": "616-871-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 CROSSINGS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087889",
            "telephone_number": "616-656-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "JEREMY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.