Individual provider Active NPI

Lauren Rachel Vanopynen, RDA

  • Dental Assistant
  • Grand Haven, MI
National Provider Identifier
1558907618
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
2903003788 Issued in MI
Practice address
326 N Ferry St
Grand Haven, MI 49417-1183
Phone
(616) 846-2701
Fax
(616) 846-8009
NPI assigned
Nov 25, 2019
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 2903003788 MI Primary

Addresses

Primary practice location

326 N Ferry St
Grand Haven, MI 49417-1183

Mailing address

326 N Ferry St
Grand Haven, MI 49417-1183
Phone (616) 846-2701

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
2903003788MIMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Love Inc of the Tri-Cities PastSince Dec 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15079/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1558907618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N FERRY ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171183",
            "telephone_number": "616-846-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N FERRY ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171183",
            "telephone_number": "616-846-2701",
            "fax_number": "616-846-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOPYNEN",
        "first_name": "LAUREN",
        "middle_name": "RACHEL",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MI",
            "license": "2903003788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.