Organization Active NPI

Nathan B Poel DDS PLLC

  • General Practice Dentistry
  • Holland, MI
National Provider Identifier
1376323949
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NATHAN B POEL DDS PLLC
Practice address
1180 Ottawa Beach Rd Ste E
Holland, MI 49424-2597
Phone
(616) 399-9530
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Nathan B Poel, DDSNPI 1891107611
Title
Member
Phone
(616) 430-2430

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1180 Ottawa Beach Rd Ste E
Holland, MI 49424-2597

Mailing address

2700 N 160TH Ave
Holland, MI 49424-6148
Phone (616) 430-2430

Other names 1

  • Ottawa Beach Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1180 Ottawa Beach Rd
Ste E
Holland, MI 49424
Phone (616) 399-9530

2700 N 160th Ave
Holland, MI 49424

Practitioners & affiliated clinicians

Practitioners 1

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": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1376323949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N 160TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494246148",
            "telephone_number": "616-430-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 OTTAWA BEACH RD STE E",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242597",
            "telephone_number": "616-399-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN B POEL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "POEL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-430-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottawa Beach Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 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.