NPIMap

Organization Active NPI

Vandevelde and Matheson, D.D.S.,P.C.

  • General Practice Dentistry
  • Bad Axe, MI
National Provider Identifier
1821251224
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VANDEVELDE AND MATHESON, D.D.S.,P.C.
Practice address
124 N Hanselman St
Bad Axe, MI 48413-1201
Phone
(989) 269-8401
Fax
(989) 269-2031
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Sandra T. Vandevelde
Title
Secretary
Phone
(248) 835-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

124 N Hanselman St
Bad Axe, MI 48413-1201

Mailing address

124 N Hanselman St
Bad Axe, MI 48413-1201
Phone (989) 269-8401

National Provider Directory

National Provider Directory

Locations

124 N Hanselman St
Bad Axe, MI 48413
Phone (989) 269-8401

Practitioners & affiliated clinicians

Practitioners 2

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": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1821251224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N HANSELMAN ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131201",
            "telephone_number": "989-269-8401",
            "fax_number": "989-269-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N HANSELMAN ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131201",
            "telephone_number": "989-269-8401",
            "fax_number": "989-269-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDEVELDE AND MATHESON, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "VANDEVELDE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "248-835-4226"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.