Michael Vander Beek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01367 Issued in MI

Practice address

4189 Highland Rd
Waterford, MI 48328-2136

Phone

(248) 682-9653

Fax

(248) 682-9266

NPI assigned

Jul 27, 2006

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Killinger & Vander Beek

  • General Practice Dentistry
  • Waterford, MI
  • NPI 1982626966
  Authorized official Same address or phone
• Merit Dental II - Michigan, PC

  dba Merit Dental

  • General Practice Dentistry
  • Waterford, MI
  • NPI 1659894780
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1871517391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9182 MORNING MIST DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482880",
            "telephone_number": "248-701-1020",
            "fax_number": "248-682-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4189 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282136",
            "telephone_number": "248-682-9653",
            "fax_number": "248-682-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER BEEK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "01367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Waterford, MI
• Providers in Waterford, 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 Feb 9, 2017; 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.