DETTMANN CENTER – NPI #1427452176
Anesthesiology

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Anesthesiology

DETTMANN CENTER is an anesthesiologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1427452176 to DETTMANN CENTER on October 09, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LA0401X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Addiction Medicine

The NPI profile was previously updated about 10 years ago on Sep 27, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DETTMANN CENTER below.

NPI Profile for
DETTMANN CENTER

NPI Number
1427452176
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DETTMANN CENTER
Primary location
3501 LAKE EASTBROOK BLVD SE STE 100
GRAND RAPIDS, MI 49546-5939
Phone: (616) 350-3230 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDRA DETTMANN
OWNER
Phone: (616) 350-3230
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LA0401X
- Anesthesiology / Addiction Medicine (Primary)		 4301051003

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.