Eric P Groeneveld, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901019902 Issued in MI

Practice address

68720 S Main St
Richmond, MI 48062-1295

Phone

(586) 727-0990

Fax

(586) 727-4872

NPI assigned

May 22, 2008

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1376700708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68720 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621295",
            "telephone_number": "586-727-0990",
            "fax_number": "586-727-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68720 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621295",
            "telephone_number": "586-727-0990",
            "fax_number": "586-727-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENEVELD",
        "first_name": "ERIC",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Paul Gray, M.S.
• Great Lakes Internist PC
• Kimberly Green
• Chelsea Ann Griebe, DDS
• Shana Jean Griffith, LLMSW
• Growing Smiles, PLLC
• Teresa Jean Guarino, PEER SUPPORT SPECIAL
• H2G Dental PLLC
• Ryan Jeffrey Hackworth
• Dana Marie Hale

• Dentist in Richmond, MI
• Providers in Richmond, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.