NPIMap

Organization Active NPI

Rem DDS, LLC

Doing business as Emergency Dental of Grand Rapids

  • Dental Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1326764333
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REM DDS, LLC
Doing business as
Emergency Dental of Grand Rapids
Practice address
847 Parchment Dr SE Ste 110
Grand Rapids, MI 49546-2377
Phone
(616) 856-4911
NPI assigned
Oct 12, 2022
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
REM DDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Rikki Lieberth
Title
Manager
Phone
(402) 505-6843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

847 Parchment Dr SE Ste 110
Grand Rapids, MI 49546-2377

Mailing address

6606 S 168TH St Ste 100
Omaha, NE 68135-5420
Phone (402) 505-6843

Other names 1

  • Emergency Dental of Grand Rapids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rem DDS LLC15 organizations share this tax ID, including this one
Part of
Rem DDS LLC

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1326764333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 S 168TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681355420",
            "telephone_number": "402-505-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462377",
            "telephone_number": "616-856-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM DDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REM DDS, LLC",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "LIEBERTH",
        "authorized_official_first_name": "RIKKI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-505-6843"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental of Grand Rapids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emergency Dental of Grand Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 26, 2023; 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.