DR. THOMAS NORTHWAY D.D.S.
NPI 1285761718
Dentist - General Practice in Grandville, MI

Active since February 28, 2007PECOS Enrolled
3050 IVANREST AVE SW, GRANDVILLE, MI 49418(616) 531-7480(616) 531-4552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Northway D.d.s. NPPES

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

DR. THOMAS NORTHWAY D.D.S. (NPI 1285761718) is an individual general practice provider in Grandville, Michigan, licensed in Michigan (12024) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285761718
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS NORTHWAYCredential: D.D.S.
Location Address3050 IVANREST AVE SWGrandville, MI 49418-1400
Mailing Address3050 Ivanrest Ave SwGrandville, MI 49418-1400 · (616) 531-7480 · Fax (616) 531-4552
Fax(616) 531-4552
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285761718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 12024
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3050 IVANREST AVE SW, Grandville, MI 49418

Other Names 1

Professional Name (2)Northway Family Dentistry D.d.s.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thomas Northway D.d.s. 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 49418 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 5

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

Dentist (General Practice)
3050 IVANREST AVE SW
GRANDVILLE, MI 49418
Dentist (General Practice)
3050 IVANREST AVE SW
GRANDVILLE, MI 49418
Clinic/Center (Dental)
3050 IVANREST AVE SW
GRANDVILLE, MI 49418
Dentist (Periodontics)
3050 IVANREST AVE SW, SUITE B
GRANDVILLE, MI 49418
Optometrist
3050 IVANREST AVE SW
GRANDVILLE, MI 49418

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 Thomas Northway's NPI number?

The NPI number for Thomas Northway is 1285761718. It was assigned to this individual provider in the NPPES registry on February 28, 2007. The provider is also known as Northway Family Dentistry D.D.S..

Where is Thomas Northway located?

Thomas Northway practices at 3050 Ivanrest Ave SW, Grandville, MI 49418. The listed phone number is (616) 531-7480.

What is Thomas Northway's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Northway enrolled in Medicare?

Yes. Thomas Northway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Northway was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.