Individual provider Active NPI

Peter Alan Garchow, DDS

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1659331452
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901014080 Issued in MI
Practice address
630 36TH St SW
Grand Rapids, MI 49509-4005
Phone
(616) 538-9020
Fax
(616) 538-5353
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901014080 MI Primary

Addresses

Primary practice location

630 36TH St SW
Grand Rapids, MI 49509-4005

Mailing address

630 36TH St SW
Grand Rapids, MI 49509-4005
Phone (616) 538-9020

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
2901014080MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659331452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 36TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094005",
            "telephone_number": "616-538-9020",
            "fax_number": "616-538-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 36TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094005",
            "telephone_number": "616-538-9020",
            "fax_number": "616-538-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCHOW",
        "first_name": "PETER",
        "middle_name": "ALAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.