David J. Scholten, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002566 Issued in MI

Legal business name

DAVID J. SCHOLTEN, OD, PC

Practice address

2350 32ND St SE
Kentwood, MI 49508-7901

Phone

(616) 243-0007

Fax

(616) 243-0540

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David J. Scholten, O.D.

Title

President

Phone

(616) 243-0007

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1457521692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 32ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087901",
            "telephone_number": "616-243-0007",
            "fax_number": "616-243-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 32ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087901",
            "telephone_number": "616-243-0007",
            "fax_number": "616-243-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. SCHOLTEN, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "SCHOLTEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-243-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF MI",
            "identifier": "900D16575",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4350446",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel E Curtis, RD
• Richard Czop, MD
• Amy Sue Da Silva, LMSW
• Daniel a. Kruse, D.D.S., M.S.D
• Caitlin Davenport
• Briana Zoe Davids
• Michelle K Davis, M.D.
• Lisbeth De Los Santos
• Daniel De Young, NP
• Keri Debruin, LMSW, MPA

• Optometrist in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Optometrist in Michigan

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