Nathan B. Poel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021230 Issued in MI

Practice address

1180 Ottawa Beach Rd
Suite E
Holland, MI 49424

Phone

(616) 399-9530

NPI assigned

May 28, 2014

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nathan B Poel DDS PLLC

  dba Ottawa Beach Dental

  • General Practice Dentistry
  • Holland, MI
  • NPI 1376323949
  NPD Authorized official

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1891107611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 OTTAWA BEACH RD",
            "address_2": "SUITE E",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-399-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 OTTAWA BEACH RD",
            "address_2": "SUITE E",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-399-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEL",
        "first_name": "NATHAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Joy Pipe, AUD
• Julia Plaggemeyer, LCSW
• Carrita Loree Plaskewicz, CPNP
• Nicholas Platko, DPT
• Jeanne Poel, M.D.
• Alexandra Patricia Poland
• Piero Angelo Policicchio, D.D.S.
• Cynthia Helen Pollet, LPC
• Bruce E Pommerening, CMT, CR
• Tara Poore

• General Practice Dentistry in Holland, MI
• Providers in Holland, 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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.