NPIMap

Organization Active NPI

Bohn Dental

  • Dental Clinic/Center
  • Hudsonville, MI
National Provider Identifier
1972240224
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BOHN DENTAL
Practice address
3686 32ND Ave Ste 100
Hudsonville, MI 49426-8546
Phone
(616) 425-8892
Fax
(616) 216-6943
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Keegan Bohn, DDSNPI 1467945428
Title
Dentist, Sole Member
Phone
(616) 425-8892

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3686 32ND Ave Ste 100
Hudsonville, MI 49426-8546

Mailing address

3686 32ND Ave Ste 100
Hudsonville, MI 49426-8546
Phone (616) 425-8892

National Provider Directory

National Provider Directory

Locations

3686 32nd Ave
Ste 100
Hudsonville, MI 49426
Phone (616) 425-8892

Practitioners & affiliated clinicians

Practitioners 1

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": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1972240224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 32ND AVE STE 100",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268546",
            "telephone_number": "616-425-8892",
            "fax_number": "616-216-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 32ND AVE STE 100",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268546",
            "telephone_number": "616-425-8892",
            "fax_number": "616-216-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_title_or_position": "DENTIST, SOLE MEMBER",
        "authorized_official_telephone_number": "616-425-8892",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.