Michael H. Vanderveen DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11356 Issued in MI

Legal business name

MICHAEL H. VANDERVEEN DDS PC

Practice address

2865 Clyde Park Ave SW
Wyoming, MI 49509-2911

Phone

(616) 940-0940

NPI assigned

Feb 27, 2007

Last updated

May 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Vanderveen, D.D.S.NPI 1205039385

Title

Owner

Phone

(616) 940-0940

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Henry Vanderveen, DDS

  • General Practice Dentistry
  • Wyoming, MI
  • NPI 1205039385
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1295862340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CLYDE PARK AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 CLYDE PARK AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092911",
            "telephone_number": "616-940-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. VANDERVEEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "VANDERVEEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-940-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11356",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Hospital (Metro Health Cancer Pharmacy)
• Metropolitan Hospital (Metro Health Hospital)
• Metropolitan Hospital (Metro Health Hospital)
• Metropolitan Hospital (Metro Health Hospital)
• Joseph Christopher Metzger Jr., MD
• Karen Renee Michaud, AU.D.
• Kayla Micheau
• Tonino F Michienzi, RPH
• Michigan Chiropractic and Neuropathy Center
• Michigan Medical Patient Care

• General Practice Dentistry in Wyoming, MI
• Providers in Wyoming, 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 May 1, 2012; 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.