Organization Active NPI

John P McRee, D.D.S.,. L.L.C.

  • Dentist
  • Grand Haven, MI
National Provider Identifier
1801007455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901014870 Issued in MI
Legal business name
JOHN P MCREE, D.D.S.,. L.L.C.
Practice address
17088 Robbins Rd
Grand Haven, MI 49417-2791
Phone
(616) 842-2960
Fax
(616) 842-8550
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Patrick McRee, DDSNPI 1447358551
Title
President
Phone
(616) 842-2960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901014870 MI Primary

Addresses

Primary practice location

17088 Robbins Rd
Grand Haven, MI 49417-2791

Mailing address

3555 Pratt Lake Ave SE
Lowell, MI 49331-9376
Phone (616) 897-4807

Other identifiers 2

IdentifierTypeStateIssuer
J800322OtherMIBLUE CROSS BLUE SHIELD
512010OtherMAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

17088 Robbins Rd
Grand Haven, MI 49417
Phone (616) 842-2960

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801007455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 PRATT LAKE AVE SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319376",
            "telephone_number": "616-897-4807",
            "fax_number": "616-842-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17088 ROBBINS RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172791",
            "telephone_number": "616-842-2960",
            "fax_number": "616-842-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P MCREE, D.D.S.,. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCREE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-842-2960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J800322",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "512010",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.