NPIMap

Organization Active NPI

Eric Groeneveld DDS, P.C.

  • Dentist
  • Richmond, MI
National Provider Identifier
1376875161
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019902 Issued in MI
Legal business name
ERIC GROENEVELD DDS, P.C.
Practice address
68720 S Main St
Richmond, MI 48062-1295
Phone
(586) 727-0990
Fax
(586) 727-4872
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Eric P Groeneveld, DDS
Title
President
Phone
(586) 727-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901019902 MI Primary

Addresses

Primary practice location

68720 S Main St
Richmond, MI 48062-1295

Mailing address

68720 S Main St
Richmond, MI 48062-1295
Phone (586) 727-0990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1376875161",
    "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": {
        "organization_name": "ERIC GROENEVELD DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "GROENEVELD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-727-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.