NPIMap

Individual provider Active NPI

Ashley Geldermans

  • Dentist
  • Kentwood, MI
National Provider Identifier
1477901742
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021898 Issued in MI
Practice address
5278 Kalamazoo Ave SE
Kentwood, MI 49508-6131
Phone
(616) 531-1550
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021898 MI Primary

Addresses

Primary practice location

5278 Kalamazoo Ave SE
Kentwood, MI 49508-6131

Mailing address

6173 Gemini CT
Hudsonville, MI 49426-7838
Phone (517) 648-4516

Other practice location 1

3290 96th Ave
Zeeland, MI 49464-9710
Phone (616) 772-9898

Other practice location 2

937 52nd St SE
Kentwood, MI 49508-6003
Phone (616) 531-1550

Other names 1

  • Ashley Howard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901021898MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
MGH Family Health Center Past Accepting new patients
MGH Family Health Center Past Accepting new patients
Comfort Family Dentistry of Kentwood Dentist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1477901742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6173 GEMINI CT",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267838",
            "telephone_number": "517-648-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 KALAMAZOO AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086131",
            "telephone_number": "616-531-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3290 96th Ave",
            "address_purpose": "LOCATION",
            "city": "Zeeland",
            "state": "MI",
            "postal_code": "494649710",
            "country_code": "US",
            "telephone_number": "616-772-9898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "937 52nd St SE",
            "address_purpose": "LOCATION",
            "city": "Kentwood",
            "state": "MI",
            "postal_code": "495086003",
            "country_code": "US",
            "telephone_number": "616-531-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELDERMANS",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HOWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.