Individual provider Active NPI

Kristen Marie Veltema, D.M.D.

  • General Practice Dentistry
  • Hudsonville, MI
National Provider Identifier
1881822849
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020276 Issued in MI
Practice address
3185 Corporate Grove Dr
Ste a
Hudsonville, MI 49426-8021
Phone
(616) 550-8848
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020276 MI Primary

Addresses

Primary practice location

3185 Corporate Grove Dr
Ste a
Hudsonville, MI 49426-8021

Mailing address

3185 Corporate Grove Dr
Ste a
Hudsonville, MI 49426-8021
Phone (616) 550-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518000263 MI Order and Referring Only - DentistPractitioner - Dentist 9032408802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020276MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Hills, PLC CurrentSince Jan 14, 2024 Accepting new patients
Harbor Hills, PLC General Practice Current Accepting new patients

Locations

3185 Corporate Grove Dr
Ste A
Hudsonville, MI 49426
Phone (606) 896-7600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1881822849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 CORPORATE GROVE DR",
            "address_2": "STE A",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268021",
            "telephone_number": "616-550-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 CORPORATE GROVE DR",
            "address_2": "STE A",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268021",
            "telephone_number": "616-550-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELTEMA",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.