DR. KADIE ANN KOOLWICK (NPI# 1639797640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639797640 |
| Entity Type | Individual |
| Full Name | DR. KADIE ANN KOOLWICK |
| Credential | DDS |
| Practice Address |
5500 Northland Dr Ne Grand Rapids MI 49525-1064 |
| Mailing Address |
5873 Kingsfield Dr West Bloomfield MI 48322-1479 |
| Practice Telephone | 6163649451 |
| Mailing Telephone | 2489967645 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901600589 | MI | Dental Providers |
| Street Address |
5500 NORTHLAND DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1841673399 | Sara A. Gaalaas | Dentist | 504 Nw 1st Ave Ste 200, Grand Rapids, MN 55744-2663 | 2015-07-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on DR. KADIE ANN KOOLWICK.
| 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.