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KEVIN KOOIKER D.D.S
NPI 1356454409
Dentist - General Practice in Grand Rapids, MI

Active since August 15, 2006PECOS Enrolled
101 SHELDON BLVD SE, GRAND RAPIDS, MI 49503(616) 776-2340(616) 776-2341 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Kooiker D.d.s NPPES

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

KEVIN KOOIKER D.D.S (NPI 1356454409) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (2901017902) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356454409
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEVIN KOOIKERCredential: D.D.S
Location Address101 SHELDON BLVD SEGrand Rapids, MI 49503-4262
Mailing Address550 Cherry St SeGrand Rapids, MI 49503-4748 · (616) 235-7280 · Fax (616) 752-4119
Phone(616) 776-2340
Fax(616) 776-2341
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356454409 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 · 2901017902
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.
101 SHELDON BLVD SE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Identifiers 3

OtherD179020MI · Bcbs
Medicaid4535790MI
Medicaid4525382MI

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)

Kevin Kooiker 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 49503 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 14

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

JOSEPH WILLIAMS D.D.S
Dentist (General Practice)
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2340
DR. GWENDOLYN HILTON BROWN D.D.S
Dentist (General Practice)
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2340
SHERYL LYNN TUCKER RDH
Dental Hygienist
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2363
HILLARY VERONICA GUENTHER DDS
Dentist
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2340
CHERRY HEALTH
Respite Care
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2340
KIMBERLEY BARANOWSKI
Dental Hygienist
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2340
CARRIE CASE
Dental Hygienist
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2363
WANDA LOU MCCANE RDH
Dental Hygienist
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-2363

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 Kevin Kooiker's NPI number?

The NPI number for Kevin Kooiker is 1356454409. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Kevin Kooiker located?

Kevin Kooiker practices at 101 Sheldon Blvd SE, Grand Rapids, MI 49503. The listed phone number is (616) 776-2340.

What is Kevin Kooiker's specialty?

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

Is Kevin Kooiker enrolled in Medicare?

Yes. Kevin Kooiker is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Kooiker accept?

Health plans from Delta Dental of Michigan list Kevin Kooiker 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 Kevin Kooiker 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.