Active NPI
John P McRee, D.D.S.,. L.L.C.
- Dentist
- Grand Haven, MI
National Provider Identifier
1801007455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901014870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Patrick McRee, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J800322 | Other | MI | BLUE CROSS BLUE SHIELD |
| 512010 | Other | MA | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Saranac, MI
- NPI 1447358551
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.