J B Zoutendam DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J B ZOUTENDAM DDS PC

Practice address

535 S Garfield Ave
Traverse City, MI 49686-3423

Phone

(231) 946-6336

Fax

(231) 946-9489

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Jonathan ZoutendamNPI 1184767808

Title

DDS

Phone

(231) 946-6336

Specialties & licenses 1

Addresses

Other names 1

• J B ZOUTENDAM DDS PC Doing business as

Locations

Practitioners 1

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

• Jonathan Bradley Zoutendam, DDS

  • Dentist
  • Traverse City, MI
  • NPI 1184767808
  NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1770211583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863423",
            "telephone_number": "231-946-6336",
            "fax_number": "231-946-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863423",
            "telephone_number": "231-946-6336",
            "fax_number": "231-946-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J B ZOUTENDAM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "ZOUTENDAM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "231-946-6336"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J B ZOUTENDAM DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• International Center for Integral Health and Education
• Jaemi D Irelan-Dunn
• Victoria Isac-Huggins, PA
• Jessica Renee Isit
• Dianna J Ives, PT
• J Weber Medical Group PLLC
• J. Donberg, LLC
• J. Eric Zimmerman, M.D., P.C.
• Jordan Jabara, MD
• Mark A Jackson, MD

• Dental Clinic/Center in Traverse City, MI
• Providers in Traverse City, 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 Nov 3, 2022; 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.