GREAT LAKES SLEEP CARE PLLC
NPI 1205710530
Dentist - General Practice in Grand Rapids, MI
About Great Lakes Sleep Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES SLEEP CARE PLLC (NPI 1205710530) is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since July 2025. The organization lists Andrew De Zwaan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Sleep Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Lakes Sleep Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Great Lakes Sleep Care PLLC's NPI number?
The NPI number for Great Lakes Sleep Care PLLC is 1205710530. It was assigned to this organization in the NPPES registry on July 31, 2025.
Where is Great Lakes Sleep Care PLLC located?
Great Lakes Sleep Care PLLC is located at 933 3 Mile Rd NW Ste 110, Grand Rapids, MI 49544. The listed phone number is (616) 784-6300.
What is Great Lakes Sleep Care PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Great Lakes Sleep Care PLLC enrolled in Medicare?
Yes. Great Lakes Sleep Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Sleep Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Great Lakes Sleep Care PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Great Lakes Sleep Care PLLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Great Lakes Sleep Care Pllc · NPI 1205710530
General Practice organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since July 31, 2025.
## Identity
- **NPI:** 1205710530 (Entity type: Organization)
- **Enumerated:** July 31, 2025
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Andrew De Zwaan, OWNER
## Practice location
- **Address:** 933 3 MILE RD NW STE 110, Grand Rapids, MI 49544-1673
- **Phone:** (616) 784-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205710530) · Data from the CMS NPPES public registry.