CENTER FOR BREAST & BODY CONTOURING PC
NPI 1194755306
Specialist in Grand Rapids, MI

Q: What is Center For Breast & Body Contouring PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 04, 2006CLIA 23D1071477 · Waiver

4070 LAKE DR SE, SUITE 202, GRAND RAPIDS, MI 49546(616) 464-4420(616) 464-4354 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Center For Breast & Body Contouring Pc NPPES

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

CENTER FOR BREAST & BODY CONTOURING PC (NPI 1194755306) is a healthcare organization registered as a specialist in Grand Rapids, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Dennis C Hammond, Owner President, as its authorized official.

NPPES Registry Identity

NPI1194755306

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCENTER FOR BREAST & BODY CONTOURING PC

Location Address4070 LAKE DR SE, SUITE 202Grand Rapids, MI 49546-8294

Mailing Address4070 Lake Dr Se, Suite 202Grand Rapids, MI 49546 · (616) 464-4420 · Fax (616) 464-4354

Phone(616) 464-4420

Fax(616) 464-4354

Organization SubpartNo

Authorized OfficialDennis C HammondOwner President · (616) 464-4420

Enumeration DateJuly 4, 2006

Last NPPES UpdateMarch 20, 2008

✔ NPI 1194755306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MI · 4301406022

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4070 LAKE DR SE, Grand Rapids, MI 49546

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Other Identifiers 3

Medicare UPINE61518MI

Medicaid4362920MI

Medicare PIN0N89630

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1071477

Center For Breast & Body Contouring · Grand Rapids, MI

Active · expires Jul 25, 2027

CLIA Number23D1071477

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 26, 2025

Certificate Expiration DateJuly 25, 2027

Laboratory DirectorDennis C. Hammond

Laboratory Phone(616) 464-4420

Laboratory LocationCenter For Breast & Body Contouring4070 Lake Drive SE Suite 202, Grand Rapids, MI 49546

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

JOHN G FORD OD

Optometrist

4070 LAKE DR SE, SUITE 101
GRAND RAPIDS, MI 49546

Kent County (616) 949-8500

DR. DENNIS C. HAMMOND M.D.

Plastic Surgery

4070 LAKE DR SE, SUITE 202
GRAND RAPIDS, MI 49546

Kent County (616) 464-4420

DR. KATIE R UGOLINI M.D.

Specialist

4070 LAKE DR SE, SUITE 202
GRAND RAPIDS, MI 49546

Kent County (616) 464-4420

KENNETH W POST MD PLC

Surgery

4070 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 954-1763

DAVID E THOMPSON MD

Urology

4070 LAKE DR SE, STE 103
GRAND RAPIDS, MI 49546

Kent County (616) 949-4340

RANDALL SCOTT KUNTZMAN M.D.

Urology

4070 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 949-4340

RICHARD PHILLIP OCONNOR JR. MD

Internal Medicine (Nephrology)

4070 LAKE DR SE, STE 201
GRAND RAPIDS, MI 49546

Kent County (616) 774-8200

PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC

Clinic/Center (Physical Therapy)

4070 LAKE DR SE, SUITE: 204
GRAND RAPIDS, MI 49546

Kent County (616) 481-3690

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 Center For Breast & Body Contouring PC's NPI number?

The NPI number for Center For Breast & Body Contouring PC is 1194755306. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Center For Breast & Body Contouring PC located?

Center For Breast & Body Contouring PC is located at 4070 Lake Dr SE Suite 202, Grand Rapids, MI 49546. The listed phone number is (616) 464-4420.

What is Center For Breast & Body Contouring PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Center For Breast & Body Contouring PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1071477) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Center For Breast & Body Contouring PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Center For Breast & Body Contouring PC 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 Center For Breast & Body Contouring PC was last updated on March 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.