Scott Harvey Bolkema, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012105 Issued in MI

Practice address

2025 E Beltline Ave SE
Ste 101
Grand Rapids, MI 49546-7630

Phone

(616) 949-1570

Fax

(616) 940-0871

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Adam E. Piotrowski, DDS, PLLC

  • Dental Clinic/Center
  • Grand Rapids, MI
  • NPI 1033834387
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1467570523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE",
            "address_2": "STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467630",
            "telephone_number": "616-949-1570",
            "fax_number": "616-940-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE",
            "address_2": "STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467630",
            "telephone_number": "616-949-1570",
            "fax_number": "616-940-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLKEMA",
        "first_name": "SCOTT",
        "middle_name": "HARVEY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D012105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura J Bolenz-Geesin, PA-C
• Payton Rochel Bolin
• Kelli Marie Boling
• Tammy Bolinger, MS, PA-C
• Amy Catherine Bolkcom, LPC
• Brooke Ella Bollin-Richards, M.D.
• Kaylin Joy Bolt, MSW, MPH, MED
• Jonathan Todd Bolthouse, MD
• Amanda Bolton
• Anthony Bolton, TRANSPORTATION

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 Aug 27, 2009; 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.