DR. TRACY ELAINE BLOUNT (NPI# 1326145046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326145046 |
| Entity Type | Individual |
| Full Name | DR. TRACY ELAINE BLOUNT |
| Other Name | DR. TRACY ELAINE MATHIS |
| Credential | D.D.S |
| Practice Address |
1014 Franklin St Se Grand Rapids MI 49507-1327 |
| Practice Telephone | 6164520400 |
| Practice Fax Number | 6162433728 |
| Mailing Telephone | 6164520400 |
| Mailing Fax Number | 6162433728 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2759918 | 05 |
| Street Address |
1014 FRANKLIN ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972695450 | Karen Anne Veldkamp | Dental Hygienist | 1014 Franklin St Se, Grand Rapids, MI 49507-1327 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797640 | Kadie Ann Koolwick | Dentist | 5500 Northland Dr Ne, Grand Rapids, MI 49525-1064 | 2020-07-07 |
| 1962053744 | Gr Sound Sleep LLC | Dentist | 6677 Crossings Dr Se Ste 4, Grand Rapids, MI 49508-7889 | 2019-09-24 |
| 1598323016 | Kelly Reinhardt | Dentist | 847 Parchment Dr Se Ste 110, Grand Rapids, MI 49546-2377 | 2019-05-30 |
| 1063079242 | Andrew Stuart Kuehn | Dentist | 1121 Se 4th Ave, Grand Rapids, MN 55744-3956 | 2019-05-23 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1710417969 | Mccoy Family Dentistry | Dentist | 2330 44th St Se, Grand Rapids, MI 49508-4700 | 2017-06-19 |
| 1427594027 | Mel Trotter Ministries Dental Clinic | Dentist | 225 Commerce Ave Sw, Grand Rapids, MI 49503-4107 | 2017-01-06 |
| 1265980957 | Brittany Ann Rashid | Dentist | 2549 Tall Timber Ct Se, Grand Rapids, MI 49546-6787 | 2016-09-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1083098198 | Alexandra Dodds | Dentist | 2609 Breton Rd Se, Grand Rapids, MI 49546 | 2015-07-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on DR. TRACY ELAINE BLOUNT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.