Christian Vermeulen DDS PLC

Primary specialty

DentistTaxonomy code 122300000X

License

29001018102 Issued in MI

Legal business name

CHRISTIAN VERMEULEN DDS PLC

Practice address

4940 Cascade Rd SE Ste 010
Grand Rapids, MI 49546-3723

Phone

(616) 949-3500

Fax

(616) 949-9931

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christian L Vermeulen, DDS

Title

Dentist President

Phone

(616) 949-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396869020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 CASCADE RD SE STE 010",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463723",
            "telephone_number": "616-949-3500",
            "fax_number": "616-949-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 CASCADE RD SE STE 010",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463723",
            "telephone_number": "616-949-3500",
            "fax_number": "616-949-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN VERMEULEN DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERMEULEN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST  PRESIDENT",
        "authorized_official_telephone_number": "616-949-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "29001018102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Counseling Center
• Christian Healthcare Centers, Inc.
• Christian Healthcare Specialists, Inc.
• Christian Rest Home Association
• Christian Rest Home Association
• Katrina Christian
• Sarah Kay Christian
• David Alan Christianson, M.D.
• Eric Christianson, MD
• Bryan Charles Christie, M.D.

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.