Organization Active NPI

W Erick Rupprecht DDS PLLC

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1659709145
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
W ERICK RUPPRECHT DDS PLLC
Practice address
2554 Woodmeadow Dr SE Ste a
Grand Rapids, MI 49546-8033
Phone
(616) 957-0303
Fax
(616) 957-2732
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Erick Rupprecht
Title
Owner
Phone
(616) 957-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2554 Woodmeadow Dr SE Ste a
Grand Rapids, MI 49546-8033

Mailing address

2554 Woodmeadow Dr SE Ste a
Grand Rapids, MI 49546-8033
Phone (616) 957-0303

National Provider Directory

National Provider Directory

Locations

2554 Woodmeadow Dr SE
Ste A
Grand Rapids, MI 49546
Phone (616) 957-0303

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1659709145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 WOODMEADOW DR SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468033",
            "telephone_number": "616-957-0303",
            "fax_number": "616-957-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 WOODMEADOW DR SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468033",
            "telephone_number": "616-957-0303",
            "fax_number": "616-957-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W ERICK RUPPRECHT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "RUPPRECHT",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-957-0303"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Oct 22, 2013; 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.