Erin Elizabeth Vandenbos, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902010581 Issued in MI

Practice address

781 36TH St SE Ste B
Grand Rapids, MI 49548-2319

Phone

(606) 828-0052

NPI assigned

Sep 26, 2024

Sex

Female

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

Locations

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.

• Catherines Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1598367740
  NPD
• Catherine's Health Center

  dba Catherine's Health Center Harrison

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1407742018
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1497572754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CANNON ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194208",
            "telephone_number": "606-690-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 36TH ST SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495482319",
            "telephone_number": "606-828-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBOS",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902010581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Vandenberg, MA, LPC, NCC, CAADC
• William Christian Vandenberg, M.D.
• Kylie Jay Vandenberge
• Stacey Michelle Vandenberge, OTR
• Amy Vandenbos
• Sarah Vandenbos, PA-C
• Karlina Vandenbosch
• Margaret Jane Vandenbosch
• Nikita Vandenbosch
• Susan L Vandenbosch, M.D.

• Dental Hygienist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.