Westside Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WESTSIDE DENTAL PC

Practice address

2005 Leonard St NW
Grand Rapids, MI 49504-3827

Phone

(616) 453-5331

Fax

(616) 453-9235

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Allyson B Mulder, D.M.D.NPI 1881958411

Title

Doctor

Phone

(616) 453-5331

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allyson Burgess Mulder, D.M.D

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1881958411
  NPD (past) Authorized official
• Erin Nartker, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1619469046

  General Practice

  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1669840559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 LEONARD ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043827",
            "telephone_number": "616-453-5331",
            "fax_number": "616-453-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 LEONARD ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043827",
            "telephone_number": "616-453-5331",
            "fax_number": "616-453-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "616-453-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Evan Westrate
• Deborah Westrate, LPC
• Kate Allison Westrate, CNP
• Nicole Christine Westrick
• Westside Chiropractic LLC
• Westside Neuropsychology, PLLC
• Westside Vision, LLC
• Miriam K Westveer
• Zora Balbina Westwalewicz, PA
• Anne Wetherbee

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.