NPIMap

Organization Active NPI

Valleau and Vandeven DDS PC

  • Pediatric Dentistry
  • Grand Rapids, MI
National Provider Identifier
1902005143
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901016883 Issued in MI
Legal business name
VALLEAU AND VANDEVEN DDS PC
Practice address
2000 43Rd St SE
Suite B
Grand Rapids, MI 49508-8700
Phone
(616) 455-1301
Fax
(616) 455-6533
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Aimee Christine Valleau, DDS
Title
President
Phone
(616) 455-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2901016883 MI Primary

Addresses

Primary practice location

2000 43Rd St SE
Suite B
Grand Rapids, MI 49508-8700

Mailing address

2000 43Rd St SE
Suite B
Grand Rapids, MI 49508-8700
Phone (616) 455-1301

National Provider Directory

National Provider Directory

Locations

2000 43rd St SE
Ste B
Grand Rapids, MI 49508
Phone (616) 455-1301

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1902005143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 43RD ST SE",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088700",
            "telephone_number": "616-455-1301",
            "fax_number": "616-455-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 43RD ST SE",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088700",
            "telephone_number": "616-455-1301",
            "fax_number": "616-455-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEAU AND VANDEVEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "VALLEAU",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-455-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901016883",
            "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 17, 2007; 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.