Derek Devries DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEREK DEVRIES DDS PLLC

Practice address

6650 Crossings Dr SE
Grand Rapids, MI 49508-7852

Phone

(616) 554-2100

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Derek Devries, DDSNPI 1922489194

Title

Owner

Phone

(616) 554-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Derek Devries, D.D.S.

  • General Practice Dentistry
  • Kentwood, MI
  • NPI 1922489194
  NPD Authorized official
• Robert G Bowman, DDS

  • Dentist
  • Kentwood, MI
  • NPI 1538193107
  NPD (past)
• Mark Farage, D.D.S.

  • General Practice Dentistry
  • Kentwood, MI
  • NPI 1376509117
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1952057762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 CROSSINGS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087852",
            "telephone_number": "616-554-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 CROSSINGS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087852",
            "telephone_number": "616-554-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK DEVRIES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-554-2100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kay Depas, PNP
• Teresa Eve Depaz
• Sharon Rose Depcinski
• Amy Depotty
• Kayleen Depue, LPC, CCS, CADC, LBSW
• Maddison Rosemary Derickson, PT, DPT
• Kevin Michael Deridder, PHARM.D
• Hannah Deritter
• Leah Deritter
• Kaitlin Derks, NP

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 Mar 8, 2022; 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.