Active NPI
Hendrik Vanholsbeeck, DDS
- Dentist
- Grand Rapids, MI
National Provider Identifier
1316467954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022220
- Practice address
- 2515 Alpine Ave NW # a
Grand Rapids, MI 49544 - Phone
- (616) 364-9348
- NPI assigned
- Jun 25, 2017
- Last updated
- Jun 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901022220 | MI | Primary |
Addresses
Primary practice location
2515 Alpine Ave NW # a
Grand Rapids, MI 49544
Mailing address
626 Gladstone Dr SE
Grand Rapids, MI 49506-2819
Phone (248) 921-3062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022220 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498348800000",
"number": "1316467954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 GLADSTONE DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062819",
"telephone_number": "248-921-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 ALPINE AVE NW # A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49544",
"telephone_number": "616-364-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOLSBEECK",
"first_name": "HENDRIK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-25",
"last_updated": "2017-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.