Dwight J Monsma DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901008106 Issued in MI

Legal business name

DWIGHT J MONSMA DDS PC

Practice address

3521 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546

Phone

(616) 942-9891

Fax

(616) 942-9891

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ewa Barbara Ostrowski

Title

Business Administrator

Phone

(616) 942-9891

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972679504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LAKE EASTBROOK BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-942-9891",
            "fax_number": "616-942-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 LAKE EASTBROOK BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-942-9891",
            "fax_number": "616-942-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT J MONSMA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTROWSKI",
        "authorized_official_first_name": "EWA",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "616-942-9891",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901008106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4063994",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kym Kay Duursma
• Lilliana Duyck, MSW STUDENT
• Rachael Duyst-Rogers
• Sameh F S Dwaikat, MD
• Jeff D Dwarshuis, LMSW
• Jennifer Carlyn Palm Dwyer, PA-C
• Jerilee Dwyer
• Rachel P. Dyal, BCBA
• Tricia Dyckman, PHARMD
• Toriana Dye

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.