Active NPI
Leonard J Bartoszewicz, DDS
- Dental Clinic/Center
- Grand Rapids, MI
National Provider Identifier
1669087433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LEONARD J BARTOSZEWICZ, DDS
- Practice address
- 2003 Burton St SE
Grand Rapids, MI 49506-4600 - Phone
- (616) 245-9830
- Fax
- (616) 245-5026
- NPI assigned
- Sep 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amy Marie Anderson
- Title
- Office Manager
- Phone
- (616) 245-9830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2003 Burton St SE
Grand Rapids, MI 49506-4600
Mailing address
2003 Burton St SE
Grand Rapids, MI 49506-4600
Phone (616) 245-9830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20171208833958 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | GRANDRAPIDS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Grand Rapids, MI
- NPI 1164577466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599609600000",
"number": "1669087433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064600",
"telephone_number": "616-245-9830",
"fax_number": "616-245-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064600",
"telephone_number": "616-245-9830",
"fax_number": "616-245-5026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD J BARTOSZEWICZ, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "616-245-9830",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20171208833958",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "GRANDRAPIDS",
"affiliation": "N",
"address_1": "2003 Burton St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495064600",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.