Joshua G Vander Weide, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019692 Issued in MI

Practice address

20055 Carlysle St
Dearborn, MI 48124-3803

Phone

(313) 565-1102

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Convenient DB PC Inc.

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1376717553
  NPD (past)
• Midwestdental of Dearborn

  • Dentist
  • Dearborn, MI
  • NPI 1063894319
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1326239351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 PINE AIRE CT SW",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287749",
            "telephone_number": "616-485-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 CARLYSLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243803",
            "telephone_number": "313-565-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER WEIDE",
        "first_name": "JOSHUA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Van Hoet, BA, MA
• Michelle Van Norman
• Isaiah Van Pelt
• Peter H. Van Well, P.T.
• Linda Kay Vanacker, LMSW
• J. Montgomery Vandyke
• Jessica Michele Vanslambrouck, PMHNP
• Neeraja Varanasi, MD
• Mya Vargas
• Melissa May Vargo, AGACNP-BC

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, 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 Sep 29, 2008; 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.