Organization Active NPI

Ready Dental PLLC

Doing business as RediDental

  • Point of Service
  • Holland, MI
National Provider Identifier
1841440724
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
READY DENTAL PLLC
Doing business as
RediDental
Practice address
12662 Riley St
Suite 130
Holland, MI 49424-8023
Phone
(616) 796-3200
Fax
(616) 796-3230
NPI assigned
Sep 26, 2008
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Ms. Kimberly Kay Timmer
Title
Operations Manager
Phone
(616) 796-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MI Primary

Addresses

Primary practice location

12662 Riley St
Suite 130
Holland, MI 49424-8023

Mailing address

12662 Riley St
Suite 130
Holland, MI 49424-8023
Phone (616) 796-3200

Other names 1

  • RediDental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1841440724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 RILEY ST",
            "address_2": "SUITE 130",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248023",
            "telephone_number": "616-796-3200",
            "fax_number": "616-796-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12662 RILEY ST",
            "address_2": "SUITE 130",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248023",
            "telephone_number": "616-796-3200",
            "fax_number": "616-796-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "TIMMER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "616-796-3200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RediDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

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

Verify at the official NPI Registry.