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

Organization subpart

No

Name

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

Title

Owner

Phone

(616) 940-0940

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

• Michael Henry Vanderveen, DDS

  • General Practice Dentistry
  • Wyoming, MI
  • NPI 1205039385

  General Practice

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2012.

{
    "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
• Metropolitan Hospital
• Metropolitan Hospital
• Metropolitan Hospital
• Metropolitan Hospital
• Karen Renee Michaud, AU.D.
• Kayla Micheau
• Tonino F Michienzi, RPH
• Michigan Chiropractic and Neuropathy Center
• Michigan Medical Patient Care

• All providers in Wyoming, MI
• 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.