Vander Linde Family and Cosmetic Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VANDER LINDE FAMILY AND COSMETIC DENTISTRY

Doing business as

Renew Family Dental

Practice address

2609 Breton Rd SE
Grand Rapids, MI 49546-5631

Phone

(616) 245-3205

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra Dodds, DDSNPI 1083098198

Title

Dentist

Phone

(616) 245-3205

Specialties & licenses 1

Addresses

Other names 1

• Renew Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Dodds, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1083098198
  NPD (past) Authorized official
• Donald John Vander Linde Jr., DDS

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1134218852
  NPD (past)

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": "1699380584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 BRETON RD. SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-245-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 BRETON RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465631",
            "telephone_number": "616-245-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDER LINDE FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-245-3205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lysandra Vander Hart, R.D.
• Donna Kay Vander Kodde, MA, LPC
• Jacob Scott Vander Kolk, LLPC
• John Vander Kolk, D.D.S.
• Karen S Vander Laan, MD
• Donald John Vander Linde Jr., DDS
• Joel Thomas Vander Lugt, M. D.
• Craig Robert Vander Maas, PSYD
• Pearce Jacob Vander Meeden, PT
• Jodie Lynn Vander Meer, RDN

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dental Clinic/Center in Michigan

• 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.

Verify at the official NPI Registry.