Dennis W Nagel DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901010714 Issued in MI

Legal business name

DENNIS W NAGEL DDS PC

Practice address

2100 Raybrook Dr SE
Suite 105
Grand Rapids, MI 49546

Phone

(616) 942-8461

Fax

(616) 942-2311

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis William Nagel, DDSNPI 1730394313

Title

President

Phone

(616) 942-8461

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dennis W. Nagel, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1730394313
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831267012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK DR SE",
            "address_2": "SUITE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-942-8461",
            "fax_number": "616-942-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK DR SE",
            "address_2": "SUITE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-942-8461",
            "fax_number": "616-942-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS W NAGEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-942-8461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elise Denicolo, LMSW
• Barbara Denison, RN
• Chasiti Dennany
• Ryan Denney
• Carrie Tenelle Dennie, ND
• Andrea Nicole Dennis, PT
• Jennifer Lynn Dennis, MA, CCC-SLP
• Michelle Jeanine Dennis, PH.D.
• Mike W Dennis
• Sandra Dennis, MA, LLP

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• 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.