NPIMap

Organization Active NPI

Peter L Bulthuis DDS PC

  • Public Health Dentistry
  • Garden City, MI
National Provider Identifier
1376044909
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
13246 Issued in MI
Legal business name
PETER L BULTHUIS DDS PC
Practice address
5625 Middlebelt Rd
Garden City, MI 48135-2457
Phone
(734) 422-1332
Fax
(734) 422-1335
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Dr. Peter L Bulthuis, DDSNPI 1073637682
Title
Dentist
Phone
(734) 422-1332

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 13246 MI Primary

Addresses

Primary practice location

5625 Middlebelt Rd
Garden City, MI 48135-2457

Mailing address

5625 Middlebelt Rd
Garden City, MI 48135-2457
Phone (734) 422-1332

National Provider Directory

National Provider Directory

Locations

5625 Middlebelt Rd
Garden City, MI 48135
Phone (734) 422-1332

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1376044909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 MIDDLEBELT RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352457",
            "telephone_number": "734-422-1332",
            "fax_number": "734-422-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 MIDDLEBELT RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352457",
            "telephone_number": "734-422-1332",
            "fax_number": "734-422-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L BULTHUIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "BULTHUIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-422-1332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "13246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.