Jerry Burgess Mulder

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JERRY BURGESS MULDER

Practice address

426 Michigan St NE Ste 207
Grand Rapids, MI 49503-5608

Phone

(616) 458-0631

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Burgess Mulde4R, DDSNPI 1104943398

Title

Dentist

Phone

(616) 458-0631

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jerry Burgess Mulder Jr., DDS PLC

  • Dentist
  • Grand Rapids, MI
  • NPI 1104943398
  NPD Authorized official
• Stephen Edward Mulder, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1346367539
  NPD (past)

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1962830794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MICHIGAN ST NE STE 207",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035608",
            "telephone_number": "616-458-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MICHIGAN ST NE STE 207",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035608",
            "telephone_number": "616-458-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY BURGESS MULDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "MULDE4R",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "BURGESS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-458-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mackenzie Jernigan
• Grace Elizabeth Jerome, LLMSW
• Carrie J Jerow, MPAS, PA-C
• Jerry B Vanleeuwen PHD PC
• Jerry B. Mulder DDS PLC
• Jerry'S Dream Adult Homes
• Todd Palmer Jervis, RPH
• Mark Jesin, DDS
• Christy Ann Jesse
• Jessica Crafton LLC

• Durable Medical Equipment & Medical Supplies in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.