Organization Active NPI

Harbor Hills, PLC

  • Durable Medical Equipment & Medical Supplies
  • Hudsonville, MI
National Provider Identifier
1417728213
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HARBOR HILLS, PLC
Doing business as
Blue Water Dentistry
Practice address
3185 Corporate Grove Dr Ste a
Hudsonville, MI 49426-8021
Phone
(616) 896-7600
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Kristen Marie VeltemaNPI 1881822849
Title
Member
Phone
(616) 896-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3185 Corporate Grove Dr Ste a
Hudsonville, MI 49426-8021

Mailing address

3185 Corporate Grove Dr Ste a
Hudsonville, MI 49426-8021
Phone (616) 896-7600

Other names 1

  • Blue Water Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Water Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1417728213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 CORPORATE GROVE DR STE A",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268021",
            "telephone_number": "616-896-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 CORPORATE GROVE DR STE A",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268021",
            "telephone_number": "616-896-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HILLS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "VELTEMA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-896-7600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Water Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.