DR. PAUL BERTRON ROCKWELL (NPI# 1669415980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669415980 |
| Entity Type | Individual |
| Full Name | DR. PAUL BERTRON ROCKWELL |
| Credential | DDS |
| Practice Address |
3351 Claystone Se Suite G 17 Grand Rapids MI 49546 |
| Practice Telephone | 6169499060 |
| Practice Fax Number | 6169495680 |
| Mailing Telephone | 6169499060 |
| Mailing Fax Number | 6169495680 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901008614 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BS | J086140 | 01 |
| Street Address |
3351 CLAYSTONE SE SUITE G 17 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396805933 | Helen Louise Kramer | Social Worker | 3351 Claystone Se, Ste 212, Grand Rapids, MI 49546-5781 | 2006-12-12 |
| 1285715599 | Barbara Clayton Price | Social Worker | 3351 Claystone Se, Ste 212, Grand Rapids, MT 49546-5781 | 2006-10-17 |
| 1891881074 | Nancy Marie Trew | Counselor | 3351 Claystone Se, Suite 212, Grand Rapids, MI 49546-5781 | 2006-10-05 |
| 1427149368 | Steven William Gainey | Psychologist | 3351 Claystone Se, Ste 212, Grand Rapids, MI 49546-5781 | 2006-09-27 |
| 1053402990 | Susan Bohon Warnes | Social Worker | 3351 Claystone Se, Ste 212, Grand Rapids, MI 49546-5781 | 2006-09-27 |
| 1922107945 | Elizabeth A Freeman | Social Worker | 3351 Claystone Se, Ste 212, Grand Rapids, MI 49546-5781 | 2006-09-22 |
| 1659470672 | Patricia Hall | Social Worker | 3351 Claystone Se, Ste 212, Grand Rapids, MI 49546-5781 | 2006-09-22 |
| 1821196262 | Arthur Edward Jongsma Jr. | Psychologist | 3351 Claystone Se, Suite 212, Grand Rapids, MI 49546-5781 | 2006-09-20 |
| 1457459893 | Dennis Potter | Social Worker | 3351 Claystone Se, Ste 212, Grand Rapids, MI 49546-5781 | 2006-09-20 |
| 1598863946 | Martin C Rini | Social Worker | 3351 Claystone Se, Ste 212, Grand Rapids, MI 49546-5781 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 | 49546 |
Please comment or provide details below to improve the information on DR. PAUL BERTRON ROCKWELL.
| 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.