Dr Daniel Roberts PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR DANIEL ROBERTS PLLC

Practice address

2554 Woodmeadow Dr SE
Grand Rapids, MI 49546-8033

Phone

(616) 957-0303

Fax

(616) 957-2732

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Fellows

Title

Office Manager

Phone

(616) 957-0303

Specialties & licenses 1

Addresses

Other names 1

• Woodmeadow Dentistry 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.

• Walter Erick Rupprecht, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1982759916
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1790242550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 WOODMEADOW DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468033",
            "telephone_number": "616-957-0303",
            "fax_number": "616-957-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 WOODMEADOW DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468033",
            "telephone_number": "616-957-0303",
            "fax_number": "616-957-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL ROBERTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-957-0303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodmeadow Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen G Dozeman, M.D.
• Michael Dozeman, M.D.
• Michele Dozeman
• Rebecca Dozeman, LLMSW
• Dr Bruce a Fowler P C
• Dr Eric J Foster DDS PLC
• Dr Fred PLLC
• Dr Marcia Hollingsworth, Ed.D, PLLC
• Dr Marianne K Moayer OD PLLC
• Dr. Danielle Koestner, PLLC

• All providers in Grand Rapids, MI
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.