Oral & Maxillofacial Surgery of Greater Grand Rapids LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL & MAXILLOFACIAL SURGERY OF GREATER GRAND RAPIDS LLC

Practice address

9021 N Rodgers CT SE Ste a
Caledonia, MI 49316-7650

Phone

(616) 891-1700

Fax

(616) 891-9306

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Bradley G Vanhoose Garrett Vanhoose, DDS MS

Title

Oral Surgeon

Phone

(616) 891-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bradley G. VanHoose Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas David Orzel, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Caledonia, MI
  • NPI 1528446069
  NPD (past)
• Bradley Garrett Vanhoose, DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Caledonia, MI
  • NPI 1134177942
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1295375137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 N RODGERS CT SE STE A",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167650",
            "telephone_number": "616-891-1700",
            "fax_number": "616-891-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 N RODGERS CT SE STE A",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167650",
            "telephone_number": "616-891-1700",
            "fax_number": "616-891-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY OF GREATER GRAND RAPIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "VANHOOSE",
        "authorized_official_first_name": "BRADLEY G VANHOOSE",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "616-891-1700",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134177942",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley G. VanHoose",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Lee Nichols, OD
• John F Nielsen, LMSW
• Emily Nisper, SOCIAL WORKER
• One Stop Home Care Services LLC
• Open Chair Counseling LLC
• Olivia Oravitz
• Douglas David Orzel, DDS
• Rebecca Marie Osbourne, DO
• OT on the Farm, LLC
• Jane E Oudbier, MA,LLP

• Oral and Maxillofacial Surgery (Dentist) in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.