Woodmeadow Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

2901020721 Issued in MI

Legal business name

WOODMEADOW DENTISTRY, PLLC

Practice address

2554 Woodmeadow Dr SE
Grand Rapids, MI 49546-8033

Phone

(616) 949-3581

Fax

(616) 949-2588

NPI assigned

Sep 20, 2013

Last updated

Sep 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Michel De Zwaan, D.D.S.

Title

Dentist

Phone

(616) 949-3581

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan C. Caldemeyer, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1851434096
  NPD (past)

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1851727952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 WOODMEADOW DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468033",
            "telephone_number": "616-949-3581",
            "fax_number": "616-949-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 WOODMEADOW DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468033",
            "telephone_number": "616-949-3581",
            "fax_number": "616-949-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMEADOW DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "DE ZWAAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-949-3581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "1982759916",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "1821349549",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zackary Douglas Woodard
• Emily Woodcock, RD
• Adelyn Wooden, LMSW
• Woodland Chiropractic PLLC (Active Life Chiropractic)
• Sydney Jade Woodman, SLP
• Thea Joyce Woodnorth
• James Thomas Woodrick, TLLP
• Madison Woodrick, LLPC
• Andrew Jon Woodrow, M.D.
• Joseph Woodruff

• 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 Sep 20, 2013; 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.