Active NPI
Dennis William Hodge, DDS-ORTHODONTIST
- Orthodontics and Dentofacial Orthopedics Dentistry
- Grand Rapids, MI
National Provider Identifier
1831209931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901010608
- Practice address
- 6677 Crossings Dr SE
Grand Rapids, MI 49508-7889 - Phone
- (616) 698-2323
- Fax
- (616) 871-9253
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901010608 | MI | Primary |
Addresses
Primary practice location
6677 Crossings Dr SE
Grand Rapids, MI 49508-7889
Mailing address
6677 Crossings Dr SE
Grand Rapids, MI 49508-7889
Phone (616) 698-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901010608 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1831209931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6677 CROSSINGS DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495087889",
"telephone_number": "616-698-2323",
"fax_number": "616-871-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6677 CROSSINGS DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495087889",
"telephone_number": "616-698-2323",
"fax_number": "616-871-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "DENNIS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS-ORTHODONTIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901010608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.