Organization Active NPI

Heinz Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rockford, MI
National Provider Identifier
1467189183
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HEINZ ORTHODONTICS PLLC
Practice address
158 Marcell Dr NE Ste a
Rockford, MI 49341-1393
Phone
(616) 951-3006
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Mary Vangemert
Title
Administration
Phone
(616) 656-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

158 Marcell Dr NE Ste a
Rockford, MI 49341-1393

Mailing address

6208 Kalamazoo Ave SE Ste 3
Grand Rapids, MI 49508-7893
Phone (616) 656-4155

Other practice location 1

6208 Kalamazoo Ave SE Ste 3
Grand Rapids, MI 49508-7893
Phone (616) 656-4155

National Provider Directory

National Provider Directory

Locations

6208 Kalamazoo Ave SE
Ste 3
Grand Rapids, MI 49508
Phone (616) 656-4155

158 Marcell Dr NE
Ste A
Rockford, MI 49341
Phone (616) 951-3006

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": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1467189183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 KALAMAZOO AVE SE STE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087893",
            "telephone_number": "616-656-4155",
            "fax_number": "616-656-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MARCELL DR NE STE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411393",
            "telephone_number": "616-951-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6208 Kalamazoo Ave SE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495087893",
            "country_code": "US",
            "telephone_number": "616-656-4155",
            "fax_number": "616-656-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEINZ ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "VANGEMERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "616-656-4155"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.