JONATHAN BRADLEY ZOUTENDAM DDS
NPI 1184767808
Dentist in Traverse City, MI

Q: What is Jonathan Zoutendam's NPI number?

The NPI number for Jonathan Zoutendam is 1184767808. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Jonathan Zoutendam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 14, 2007PECOS Enrolled

535 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 946-6336(231) 946-9489 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jonathan Bradley Zoutendam Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BRADLEY ZOUTENDAM DDS (NPI 1184767808) is an individual dentist in Traverse City, Michigan, licensed in Michigan (173880) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184767808

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJONATHAN BRADLEY ZOUTENDAMCredential: DDS

Location Address535 S GARFIELD AVETraverse City, MI 49686

Mailing Address535 S Garfield AveTraverse City, MI 49686 · (231) 946-6336 · Fax (231) 946-9489

Phone(231) 946-6336

Fax(231) 946-9489

Sole ProprietorNo

Enumeration DateFebruary 14, 2007

Last NPPES UpdateOctober 28, 2014

✔ NPI 1184767808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 173880

Definition

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.

535 S GARFIELD AVE, Traverse City, MI 49686

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Bradley Zoutendam Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J B ZOUTENDAM DDS PC

Clinic/Center (Dental)

535 S GARFIELD AVE
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 946-6336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Zoutendam's NPI number?

The NPI number for Jonathan Zoutendam is 1184767808. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Jonathan Zoutendam located?

Jonathan Zoutendam practices at 535 S Garfield Ave, Traverse City, MI 49686. The listed phone number is (231) 946-6336.

What is Jonathan Zoutendam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jonathan Zoutendam enrolled in Medicare?

Yes. Jonathan Zoutendam is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Zoutendam accept?

Health plans from Delta Dental of Michigan list Jonathan Zoutendam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Zoutendam was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.