Individual provider Active NPI

Christopher Alan Ritzema, DDS

  • General Practice Dentistry
  • Cadillac, MI
National Provider Identifier
1982817540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016502 Issued in MI
Practice address
8795 Pine Ridge Dr
Cadillac, MI 49601-9777
Phone
(231) 775-5381
Fax
(231) 775-9801
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016502 MI Primary

Addresses

Primary practice location

8795 Pine Ridge Dr
Cadillac, MI 49601-9777

Mailing address

8795 Pine Ridge Dr
Cadillac, MI 49601-9777
Phone (231) 775-5381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802002330 MI Order and Referring Only - DentistPractitioner - Dentist 2062706807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982817540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019777",
            "telephone_number": "231-775-5381",
            "fax_number": "231-775-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8795 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019777",
            "telephone_number": "231-775-5381",
            "fax_number": "231-775-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZEMA",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.