Alexander Van Cibor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601249 Issued in MI

Practice address

1121 Ottawa Beach Rd Ste 100
Holland, MI 49424-2528

Phone

(616) 288-4777

NPI assigned

Apr 9, 2015

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 9, 2020 through Oct 9, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cibor & Billingsley Dental PLLC

  • General Practice Dentistry
  • Holland, MI
  • NPI 1992431605
  NPD Authorized official

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1255727996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 OTTAWA BEACH RD STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242528",
            "telephone_number": "616-288-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 OTTAWA BEACH RD STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242528",
            "telephone_number": "616-288-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBOR",
        "first_name": "ALEXANDER",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60654296",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Christensen, D.D.S.
• Peter Christensen, DO
• Kaeding Chrysler, LLMSW
• Nathanial Ray Chumley, MD
• Cibor & Billingsley Dental PLLC
• CK Psychological Associates, P.C.
• Jeffrey Paul Clapp
• Clarity Professional Counseling, LLC (Clarity Counseling)
• Aaron T Clark, PA-C
• Hannah Clark, NP

• General Practice Dentistry in Holland, MI
• Providers in Holland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.