Individual provider Active NPI

Julie Ruth Vanhoose, DMD

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1508925710
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018361 Issued in MI
Practice address
2545 East Paris SE
Grand Rapids, MI 49546-6134
Phone
(616) 942-4750
Fax
(616) 942-5433
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018361 MI Primary

Addresses

Primary practice location

2545 East Paris SE
Grand Rapids, MI 49546-6134

Mailing address

2545 East Paris SE
Grand Rapids, MI 49546-6134
Phone (616) 942-4750

Other names 1

  • Julie Ruth Namanworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526002044 MI Order and Referring Only - DentistPractitioner - Dentist 1850681230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julie R Vanhoose DMD and Kyle Gies DDS, PC Past Accepting new patients

Organizations & group practices 1

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1508925710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 EAST PARIS SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466134",
            "telephone_number": "616-942-4750",
            "fax_number": "616-942-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 EAST PARIS SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466134",
            "telephone_number": "616-942-4750",
            "fax_number": "616-942-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOSE",
        "first_name": "JULIE",
        "middle_name": "RUTH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "NAMANWORTH",
            "middle_name": "RUTH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.