Individual provider Active NPI

Elise Post

  • Dentist
  • Holland, MI
National Provider Identifier
1558744607
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29010-22037 Issued in MI
Practice address
12723 N Bellwood Dr Ste 30
Holland, MI 49424-7275
Phone
(616) 399-8230
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29010-22037 MI Primary

Addresses

Primary practice location

12723 N Bellwood Dr Ste 30
Holland, MI 49424-7275

Mailing address

12723 N Bellwood Dr Ste 30
Holland, MI 49424-7275
Phone (616) 308-6983

Other practice location 1

1311 E Central Dr
Attn: Jessica Watkins
Meridian, ID 83642-7991
Phone (208) 373-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160523001166 ID Order and Referring Only - DentistPractitioner - Dentist 6305135831
I20161104000030 MI Order and Referring Only - DentistPractitioner - Dentist 6305135831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29010-22037MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stout and Gordon Family Dentistry PLC General Practice PastSince Mar 27, 2022 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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1558744607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12723 N BELLWOOD DR STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247275",
            "telephone_number": "616-308-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12723 N BELLWOOD DR STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247275",
            "telephone_number": "616-399-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 E Central Dr",
            "address_2": "Attn: Jessica Watkins",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836427991",
            "country_code": "US",
            "telephone_number": "208-373-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POST",
        "first_name": "ELISE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "29010-22037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.