Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALICIA RANAE NIEUWKOOP DDS
NPI 1407349012
Dentist in Grandville, MI

Q: What is Alicia Nieuwkoop's NPI number?

The NPI number for Alicia Nieuwkoop is 1407349012. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Q: What is Alicia Nieuwkoop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alicia Nieuwkoop was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.

Active since June 08, 2018PECOS Enrolled

3100 IVANREST AVE SW STE 105, GRANDVILLE, MI 49418(616) 538-3060 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Apr 14, 2021 (2 updates tracked since 2021).

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About Alicia Ranae Nieuwkoop Dds NPPES

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

ALICIA RANAE NIEUWKOOP DDS (NPI 1407349012) is an individual dentist in Grandville, Michigan, licensed in Michigan (2901022628) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407349012

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameALICIA RANAE NIEUWKOOPCredential: DDS

Location Address3100 IVANREST AVE SW STE 105Grandville, MI 49418-2955

Mailing Address3100 Ivanrest Ave Sw Ste 105Grandville, MI 49418-2955 · (616) 538-3060 · Fax (906) 346-6474

Phone(616) 538-3060

Sole ProprietorNo

Enumeration DateJune 8, 2018

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1407349012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901022628

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.

3100 IVANREST AVE SW STE 105, Grandville, MI 49418

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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)

Alicia Ranae Nieuwkoop 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 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

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

DR. TYLER RICHARD OATMEN DMD

Dentist

3100 IVANREST AVE SW STE 105
GRANDVILLE, MI 49418

Kent County (616) 538-3060

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 Alicia Nieuwkoop's NPI number?

The NPI number for Alicia Nieuwkoop is 1407349012. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Alicia Nieuwkoop located?

Alicia Nieuwkoop practices at 3100 Ivanrest Ave SW Ste 105, Grandville, MI 49418. The listed phone number is (616) 538-3060.

What is Alicia Nieuwkoop's specialty?

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

Is Alicia Nieuwkoop enrolled in Medicare?

Yes. Alicia Nieuwkoop is registered in the Medicare PECOS enrollment system.

What insurance does Alicia Nieuwkoop accept?

Health plans from Delta Dental of Michigan list Alicia Nieuwkoop 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 Alicia Nieuwkoop was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.