Organization Active NPI

Leland D. Zuidema DDS P.C.

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1962855163
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LELAND D. ZUIDEMA DDS P.C.
Doing business as
Zuidema & Hess Family & Cosmetic Dentistry
Practice address
6677 Crossings Dr SE
Ste #1
Grand Rapids, MI 49508-7889
Phone
(616) 656-2400
Fax
(616) 656-2424
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Jeremy HessNPI 1235422312
Title
Associate
Phone
(616) 656-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6677 Crossings Dr SE
Ste #1
Grand Rapids, MI 49508-7889

Mailing address

6677 Crossings Dr SE
Ste #1
Grand Rapids, MI 49508-7889
Phone (616) 656-2400

Other names 1

  • Zuidema & Hess Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6677 Crossings Dr SE
Ste 1
Grand Rapids, MI 49508
Phone (616) 656-2400

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1962855163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 CROSSINGS DR SE",
            "address_2": "STE #1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087889",
            "telephone_number": "616-656-2400",
            "fax_number": "616-656-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 CROSSINGS DR SE",
            "address_2": "STE #1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087889",
            "telephone_number": "616-656-2400",
            "fax_number": "616-656-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELAND D. ZUIDEMA DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "616-656-2400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zuidema & Hess Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2016; 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.