GRAND RIVER ORTHODONTICS, PC (NPI# 1518269877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518269877 |
| Entity Type | Organization |
| Organization Name | GRAND RIVER ORTHODONTICS, PC |
| Practice Address |
1335 W Main St Suite D Lowell MI 49331-1555 |
| Practice Telephone | 6168970200 |
| Mailing Telephone | 6168970200 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | HEATHER GIETZEN (PRESIDENT/ORTHODONTIST) |
| Authorized Official Telephone | 6168790200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901018802 | MI | Dental Providers |
| Street Address |
1335 W MAIN ST SUITE D |
| City | LOWELL |
| State | MI |
| Zip Code | 49331-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841483989 | Thornapple Ophthalmology Thornapple Ophthalmology Assoc PC | Optometrist | 1335 W Main St, Suite A, Lowell, MI 49331-1555 | 2007-08-22 |
| 1578632923 | Heather Gietzen | Dentist | 1335 W Main St, Suite D, Lowell, MI 49331-1555 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173771 | Heather Marie Jones | Optometrist | 915 W. Green St Ste 101, Hastings, MI 49331 | 2013-06-06 |
| 1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
| 1184732323 | Alivio Corporation | Durable Medical Equipment & Medical Supplies | 901 W. Main Street, Suite C, Lowell, MI 49331 | 2006-08-28 |
| 1740707637 | Parker Liu | Pharmacist | 11980 Fulton St E, Lowell, MI 49331 | 2017-08-23 |
| 1962482653 | Martin D Vredenburg | Dentist | 1150 N Hudson St, Lowell, MI 49331-1000 | 2006-01-19 |
| 1407140197 | Spectrum Health Primary Care Partners | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2011-05-31 |
| 1508034141 | Lowell Medical Specialists, PC | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2008-02-18 |
| 1740660315 | Patricia Sellner | Specialist/Technologist | 990 N Hudson St, Lowell, MI 49331-1006 | 2015-06-08 |
| 1508327370 | Lydia Joan Gerard | Registered Nurse | 1060 Hunt St, Lowell, MI 49331-1079 | 2019-03-26 |
| 1154847184 | Family Dentistry of Lowell | Dentist | 147 N Center St, Lowell, MI 49331-1207 | 2017-08-22 |
| Find all providers in zip 49331 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609983626 | Amitabha Lala | Dentist | 517 Rogers St, Lowell, MA 01852 | 2006-08-24 |
| 1184051153 | The Braces Place of Lawrence | Dentist | 21 George St, Lowell, MA 01852-2228 | 2013-10-04 |
| 1639341480 | John P. Burke, D.m.d.,p.c. | Dentist | 21 George St, 2nd Floor, Lowell, MA 01852-2228 | 2008-04-01 |
| 1881875912 | John Lee Lindgren | Dentist | 517 Rogers St, Lowell, MA 01852-3826 | 2007-11-16 |
| 1306058110 | Amitabha Lala Dds Ph.d | Dentist | 517 Rogers St, Lowell, MA 01852-3826 | 2007-05-04 |
| 1578632923 | Heather Gietzen | Dentist | 1335 W Main St, Suite D, Lowell, MI 49331-1555 | 2006-11-07 |
| 1861575268 | Kenneth Drizen | Dentist | 75 Arcand Dr, Lowell, MA 01852-1026 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909707 | Craig Mcmullen | Dentist | 44110 W 12 Mile Rd # 100, Novi, MI 48377-2614 | 2020-10-14 |
| 1003425208 | Hsin-chuan Pan | Dentist | 120 N Bridge St Ste C, Linden, MI 48451-8823 | 2020-07-24 |
| 1720697063 | Oakland Orthodontics | Dentist | 2789 Rochester Rd, Troy, MI 48083-1920 | 2020-07-22 |
| 1407474588 | Owais Naeem | Dentist | 44633 Joy Rd Ste 300, Canton, MI 48187-1733 | 2020-07-06 |
| 1811511538 | Leah Marie Vernacchia | Dentist | 4299 Orchard Lake Rd # 196, West Bloomfield, MI 48323-1681 | 2020-05-29 |
| 1376163345 | Smile Doctors of Michigan PC | Dentist | 13945 Panther Dr, Dewitt, MI 48820-8506 | 2020-04-20 |
| 1306470596 | Siddiqui Orthodontics, PC | Dentist | 2211 Monroe St, Dearborn, MI 48124-3007 | 2020-02-26 |
| 1144873332 | James M Fraser II | Dentist | 2388 Cole St Ste 103, Birmingham, MI 48009-7009 | 2019-07-17 |
| 1639738743 | Orthodontics Center of Novi, PC | Dentist | 27250 Wixom Rd Ste B, Novi, MI 48374-1116 | 2019-06-12 |
| 1497218291 | Bradley J. Gauthier, Dds, Ms, PC | Dentist | 441 S Livernois Rd Ste 250, Rochester Hills, MI 48307-2586 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
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| 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.