Organization Active NPI

Van Timmeren Family Dentistry, P.C.

  • Dentist
  • Wyoming, MI
National Provider Identifier
1235453804
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019579 Issued in MI
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

Updated by the provider on May 25, 2016

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.