Christopher Everett Vandeven, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901019299 Issued in MI

Practice address

2000 43Rd St SE
Suite B
Grand Rapids, MI 49508-8700

Phone

(616) 455-1301

Fax

(616) 455-6533

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

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.

• Valleau and Vandeven DDS PC

  • Pediatric Dentistry
  • Grand Rapids, MI
  • NPI 1902005143
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1639249154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 43RD ST SE",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088700",
            "telephone_number": "616-455-1301",
            "fax_number": "616-455-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 43RD ST SE",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088700",
            "telephone_number": "616-455-1301",
            "fax_number": "616-455-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901019299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jeanne Vanderzyden, LMSW
• Amber Vandeusen, LMSW
• Karen M Vandeusen, PHD
• Zachary Thomas Vandeveer, MD
• Jennafer Ann Vandevegte, PT
• Sarah Koop Vandeven, MSN, CRNP
• Margaret Vandewater, NP
• Catherine Anne Vandewege, LMSW, CAADC
• Courtney Ann Vandewege, ATC
• Veronica Sarah Vandewege, NP

• Pediatric Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.