Douglas P. Borst DDS P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DOUGLAS P. BORST DDS P.C.

Doing business as

Jenison Dental Professionals

Practice address

1895 Georgetown Center Dr
Jenison, MI 49428-7137

Phone

(616) 457-1610

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Paul Borst, DDSNPI 1073961868

Title

Dentist

Phone

(616) 834-0102

Specialties & licenses 1

Addresses

Other names 1

• Jenison Dental Professionals Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Paul Borst, DDS.

  • Dentist
  • Jenison, MI
  • NPI 1073961868
  NPD Authorized official
• Douglas Paul Borst, DDS

  • General Practice Dentistry
  • Jenison, MI
  • NPI 1821197898
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1447868864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 GEORGETOWN CENTER DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287137",
            "telephone_number": "616-457-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 GEORGETOWN CENTER DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287137",
            "telephone_number": "616-457-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS P. BORST DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "BORST",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-834-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenison Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana L. Steketee, Ma, LLP, PLC
• Diana L Dillman, D.O.
• Elise Renee Dirkse, OTR/L
• Ashley Dobbelaire, BA
• Kayla Dodde, BT
• Angela Jo Douglass, LLMSW
• Wendy Doxey
• Dr Edward Schmitt and Dr Marie McKay
• Dr. Edward P Schmitt, PLLC
• Dr. Marie a McKay PLLC

• Dental Clinic/Center in Jenison, MI
• Providers in Jenison, MI by specialty
• Dental Clinic/Center in Michigan

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