Michelle Vredenburg, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

015455 Issued in MI

Practice address

650 Huron Blvd
Marysville, MI 48040-1427

Phone

(810) 364-9060

Fax

(810) 364-9117

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Pointe, P.L.L.C

  • General Practice Dentistry
  • Marysville, MI
  • NPI 1396959151
  NPD (past) Authorized official
• Moosa Family Dentistry, PLLC

  dba Bright Pointe

  • Dental Clinic/Center
  • Marysville, MI
  • NPI 1700468345
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1720270366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HURON BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401427",
            "telephone_number": "810-364-9060",
            "fax_number": "810-364-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HURON BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401427",
            "telephone_number": "810-364-9060",
            "fax_number": "810-364-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREDENBURG",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "015455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Vertigan
• William Vertigan
• Viking Chiropractic LLC (Viking Chiropractic)
• Andrew Ted Vincent
• Mark Vincent
• Jesseka A Wade
• Angela Wakam
• Diona Marie Wallace
• Dan Wallington
• Nick Wallington

• Dentist in Marysville, MI
• Providers in Marysville, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.