Active NPI
Van Timmeren Family Dentistry, P.C.
- Dentist
- Wyoming, MI
National Provider Identifier
1235453804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019579
- Legal business name
- VAN TIMMEREN FAMILY DENTISTRY, P.C.
- Practice address
- 2620 44TH St SW
Wyoming, MI 49519-4106 - Phone
- (616) 538-1050
- NPI assigned
- Mar 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Edward Van Timmeren, D.D.S.
- Title
- Dentist/President
- Phone
- (616) 538-1050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019579 | MI | Primary |
Addresses
Primary practice location
2620 44TH St SW
Wyoming, MI 49519-4106
Mailing address
2620 44TH St SW
Wyoming, MI 49519-4106
Phone (616) 538-1050
National Provider Directory
National Provider DirectoryLocations
2620 44th St SW
Wyoming, MI 49519
Phone (616) 538-1050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1235453804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 44TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495194106",
"telephone_number": "616-538-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 44TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495194106",
"telephone_number": "616-538-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN TIMMEREN FAMILY DENTISTRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-25",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "VAN TIMMEREN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "616-538-1050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "2901019579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.