NPIMap

Organization Active NPI

William R. Syverson D.D.S., P.C.

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1447427554
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10932 Issued in MI
Legal business name
WILLIAM R. SYVERSON D.D.S., P.C.
Practice address
2000 43Rd St SE
Suite C
Grand Rapids, MI 49508-8700
Phone
(616) 455-4108
Fax
(616) 455-4477
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. William Richard Syverson, DDSNPI 1942337621
Title
President
Phone
(616) 455-4108

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10932 MI Primary

Addresses

Primary practice location

2000 43Rd St SE
Suite C
Grand Rapids, MI 49508-8700

Mailing address

2000 43Rd St SE
Suite C
Grand Rapids, MI 49508-8700
Phone (616) 455-4108

National Provider Directory

National Provider Directory

Locations

2000 43rd St SE
Ste C
Grand Rapids, MI 49508
Phone (616) 455-4108

Practitioners & affiliated clinicians

Practitioners 2

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1447427554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 43RD ST SE",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088700",
            "telephone_number": "616-455-4108",
            "fax_number": "616-455-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 43RD ST SE",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088700",
            "telephone_number": "616-455-4108",
            "fax_number": "616-455-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. SYVERSON D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SYVERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-455-4108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10932",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 8, 2008; 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.