Individual provider Active NPI

Rebecca Janine Chicoine-Adams, DDS

  • Dentist
  • Holland, MI
National Provider Identifier
1376991984
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021859 Issued in MI
Practice address
285 James St
Holland, MI 49424-1849
Phone
(855) 869-6900
NPI assigned
May 25, 2016
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021859 MI Primary

Addresses

Primary practice location

285 James St
Holland, MI 49424-1849

Mailing address

285 James St
Holland, MI 49424-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725000172 MI Practitioner - Oral Surgery 4183917446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intercare Community Health Network CurrentSince Jun 1, 2016 Accepting new patients
Intercare Community Health Network CurrentSince Jun 1, 2016 Accepting new patients

Locations

50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937

800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400

285 James St
Holland, MI 49424
Phone (616) 399-0200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1376991984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241849",
            "telephone_number": "855-869-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICOINE-ADAMS",
        "first_name": "REBECCA",
        "middle_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.