Active NPI
Juli S Wemmer, D.D.S.
- General Practice Dentistry
- Grand Rapids, MI
National Provider Identifier
1396718623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901011979
- Practice address
- 455 Cherry St SE
Grand Rapids, MI 49503-4658 - Phone
- (616) 458-8593
- Fax
- (616) 458-0738
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901011979 | MI | Primary |
Addresses
Primary practice location
455 Cherry St SE
Grand Rapids, MI 49503-4658
Mailing address
2965 E Fulton St
Grand Rapids, MI 49506-1811
Phone (616) 954-2279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D119790 | Other | MI | BCBS PROVIDER ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonecastle Dentistry PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Grand Rapids, MI
- NPI 1134360019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1396718623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 E FULTON ST",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061811",
"telephone_number": "616-954-2279",
"fax_number": "616-458-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034658",
"telephone_number": "616-458-8593",
"fax_number": "616-458-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEMMER",
"first_name": "JULI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901011979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID #",
"identifier": "D119790",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.