Sarah Bouwkamp, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601220 Issued in MI

Practice address

430 Swartz CT
Ionia, MI 48846-2139

Phone

(616) 527-4930

NPI assigned

May 20, 2022

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ionia Family Dentistry

  • General Practice Dentistry
  • Ionia, MI
  • NPI 1609019439
  NPD (past)

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1376281337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SWARTZ CT",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462139",
            "telephone_number": "616-527-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SWARTZ CT",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462139",
            "telephone_number": "616-527-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUWKAMP",
        "first_name": "SARAH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Bos
• Boucher Family Dentistry, PLLC
• Aaron Thomas Boucher, D.D.S.
• Kendra Bouknight
• Laurie Ann Boussom, LMSW
• Erica Brainard
• Leah Cynthia Bransdorfer, LMSW
• Gail Sue Braun, PT
• Amber Breeden
• Nichol Lynn Bremer, LMSW

• General Practice Dentistry in Ionia, MI
• Providers in Ionia, 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 May 20, 2022; 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.