Individual provider Active NPI

Darren M Riopelle, DDS

  • General Practice Dentistry
  • Grand Haven, MI
National Provider Identifier
1265595102
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16820 Issued in MI
Practice address
1203 S Beechtree St
Grand Haven, MI 49417
Phone
(616) 850-3970
Fax
(616) 850-3976
NPI assigned
Dec 19, 2006
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 16820 MI Primary

Addresses

Primary practice location

1203 S Beechtree St
Grand Haven, MI 49417

Mailing address

128 Columbus Ave
Grand Haven, MI 49417-1224
Phone (616) 268-2090

Other practice location 1

4505 Cascade Rd SE # A
Grand Rapids, MI 49546-8381
Phone (616) 228-1210

Other practice location 2

4505 Cascade Rd SE # B
Grand Rapids, MI 49546-8381
Phone (616) 215-1312

Other practice location 3

1915 Holton Rd
North Muskegon, MI 49445-1533
Phone (231) 719-0033

Other practice location 4

205 W 29th St Ste 100
Holland, MI 49423-6973
Phone (616) 392-2587

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
I20160325000335 MI Order and Referring Only - DentistPractitioner - Dentist 8921305517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Orthodontics Billing LLC Current Accepting new patients
Dental Group Associates PC Past Accepting new patients
Smile Cascade, P.C. Past Accepting new patients
Smile South Holland General Practice PastSince Sep 15, 2019 Accepting new patients
Smile Dental Partners PLLC Past Accepting new patients

Locations

1203 S Beechtree St
Grand Haven, MI 49417
Phone (616) 846-4689

Organizations & group practices 7

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1265595102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COLUMBUS AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171224",
            "telephone_number": "616-268-2090",
            "fax_number": "616-215-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S BEECHTREE ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-850-3970",
            "fax_number": "616-850-3976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 Cascade Rd SE # A",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468381",
            "country_code": "US",
            "telephone_number": "616-228-1210",
            "fax_number": "616-236-1175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 Cascade Rd SE # B",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468381",
            "country_code": "US",
            "telephone_number": "616-215-1312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 Holton Rd",
            "address_purpose": "LOCATION",
            "city": "North Muskegon",
            "state": "MI",
            "postal_code": "494451533",
            "country_code": "US",
            "telephone_number": "231-719-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W 29th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494236973",
            "country_code": "US",
            "telephone_number": "616-392-2587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOPELLE",
        "first_name": "DARREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.