Andrew Michel De Zwaan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020721 Issued in MI

Practice address

933 3 Mile Rd NW Ste 110
Grand Rapids, MI 49544-1673

Phone

(616) 784-6300

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

University of Detroit Mercy School of Dentistry, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Lakes Sleep Care PLLC

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1205710530
  Medicare reassignment NPD Authorized official
• Great Lakes Dental Care P.C.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1730238577
  NPD

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1821349549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 3 MILE RD NW STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441673",
            "telephone_number": "616-784-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 3 MILE RD NW STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441673",
            "telephone_number": "616-784-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ZWAAN",
        "first_name": "ANDREW",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY LICENSE NUMBER",
            "identifier": "2901020721",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "5315055983",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig A De Witt, PSY.D.
• Daniel J De Witt, PSY.D.
• De Young Chiropractic, P.C.
• Aaron Robert De Young, D.C.
• Gretchen Elise De Young, D.C.
• Sarah Maria De Zwaan, DDS
• Gregory Scot Deacon, LLP
• Dean a. Ruble DO, PLC
• Dean T Smith MD PLLC
• Briana Dean, DPT

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.