NPIMap

Organization Active NPI

Jane Boeschenstein DDS PC

  • Dental Clinic/Center
  • Jenison, MI
National Provider Identifier
1518690635
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JANE BOESCHENSTEIN DDS PC
Practice address
657 Baldwin St
Jenison, MI 49428-7903
Phone
(616) 532-3212
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Jane BoeschensteinNPI 1033380357
Title
Dentist / Owner
Phone
(616) 532-3212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

657 Baldwin St
Jenison, MI 49428-7903

Mailing address

657 Baldwin St
Jenison, MI 49428-7903
Phone (616) 532-3212

National Provider Directory

National Provider Directory

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": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1518690635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287903",
            "telephone_number": "616-532-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287903",
            "telephone_number": "616-532-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE BOESCHENSTEIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "BOESCHENSTEIN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "616-532-3212"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.