Organization Active NPI

Jeffrey T Huisman D.D.S. PLLC

  • General Practice Dentistry
  • Holland, MI
National Provider Identifier
1326179292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18263 Issued in MI
Legal business name
JEFFREY T HUISMAN D.D.S. PLLC
Practice address
397 120TH Ave
Holland, MI 49424-2118
Phone
(616) 396-5919
Fax
(616) 396-9995
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey T Huisman, D.D.S.NPI 1154452092
Title
Owner
Phone
(616) 396-5919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10141 MI
General Practice Dentistry 1223G0001X 18263 MI Primary

Addresses

Primary practice location

397 120TH Ave
Holland, MI 49424-2118

Mailing address

397 120TH Ave
Holland, MI 49424-2118
Phone (616) 396-5919

National Provider Directory

National Provider Directory

Locations

397 120th Ave
Holland, MI 49424
Phone (616) 396-5919

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326179292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-396-5919",
            "fax_number": "616-396-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-396-5919",
            "fax_number": "616-396-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY T HUISMAN D.D.S. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUISMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-396-5919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10141",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.