Todd R Vandermeer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

147540 Issued in MI

Practice address

1869 Porter St SW
Wyoming, MI 49519-1709

Phone

(616) 532-7601

Fax

(616) 531-4390

NPI assigned

Apr 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• De Young Dental Associates, PLLC

  • Dental Clinic/Center
  • Wyoming, MI
  • NPI 1720704729
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1427291343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 PORTER ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495191709",
            "telephone_number": "616-532-7601",
            "fax_number": "616-531-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 PORTER ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495191709",
            "telephone_number": "616-532-7601",
            "fax_number": "616-531-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMEER",
        "first_name": "TODD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "147540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne E Vanderkolk, M.D.
• Katelynn Ann Vanderkooi, DC
• Burton F Vanderlaan, MD
• Sarah Vanderlaan, RDH
• Megan L Vandermaas, PA-C
• Emily Christine Vanderplas, LMSW
• Taylor Mackenzie Vanderploeg
• Holly Vanderveen
• Jennifer Rebecca Vanderveen, RN
• Joanne Kathrine Vanderveen, MASTERS SOCIAL WORKE

• General Practice Dentistry in Wyoming, MI
• Providers in Wyoming, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.