NPIMap

Organization Active NPI

Michigan Reproductive and Ivf Cener, PC

  • Reproductive Endocrinology Physician
  • Grand Rapids, MI
National Provider Identifier
1881864023
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
207VE0102X Issued in MI
Legal business name
MICHIGAN REPRODUCTIVE AND IVF CENER, PC
Practice address
3230 Eagle Park Dr NE
Suite 100
Grand Rapids, MI 49525-7007
Phone
(616) 988-2229
Fax
(616) 988-2010
NPI assigned
Mar 4, 2008
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
William G Dodds II, MDNPI 1114983426
Title
Physician
Phone
(616) 988-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 207VE0102X MI Primary

Addresses

Primary practice location

3230 Eagle Park Dr NE
Suite 100
Grand Rapids, MI 49525-7007

Mailing address

3230 Eagle Park Dr NE
Suite 100
Grand Rapids, MI 49525-7007
Phone (616) 988-2229

National Provider Directory

National Provider Directory

Locations

3230 Eagle Park Dr NE
Ste 100
Grand Rapids, MI 49525
Phone (616) 949-7079

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1881864023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 EAGLE PARK DR NE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257007",
            "telephone_number": "616-988-2229",
            "fax_number": "616-988-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 EAGLE PARK DR NE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257007",
            "telephone_number": "616-988-2229",
            "fax_number": "616-988-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REPRODUCTIVE AND IVF CENER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "616-988-2229",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "207VE0102X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.