DR. MICHAEL JOHN WIERENGA D.D.S.
NPI 1578823993
Dentist in Grandville, MI

Active since May 18, 2012PECOS Enrolled
4320 44TH ST SW, STE 106, GRANDVILLE, MI 49418(616) 530-2200(616) 530-8250 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael John Wierenga D.d.s. NPPES

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

DR. MICHAEL JOHN WIERENGA D.D.S. (NPI 1578823993) is an individual dentist in Grandville, Michigan, licensed in Michigan (2901020644) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578823993
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL JOHN WIERENGACredential: D.D.S.
Location Address4320 44TH ST SW, STE 106Grandville, MI 49418-2300
Mailing Address185 Lake Village Dr Apt 203Ann Arbor, MI 48103-6539 · (616) 723-6762
Fax(616) 530-8250
Sole ProprietorNo
Enumeration DateMay 18, 2012
NPI 1578823993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901020644
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.
4320 44TH ST SW, Grandville, MI 49418

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. Michael John Wierenga 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 10

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

Marriage & Family Therapist
4320 44TH ST SW, SUITE 103
GRANDVILLE, MI 49418
Dentist (General Practice)
4320 44TH ST SW, SUITE 106
GRANDVILLE, MI 49418
Dentist (General Practice)
4320 44TH ST SW, SUITE 106
GRANDVILLE, MI 49418
Counselor (Professional)
4320 44TH ST SW
GRANDVILLE, MI 49418
Dentist (General Practice)
4320 44TH ST SW, SUITE 106
GRANDVILLE, MI 49418
Dentist (Orthodontics and Dentofacial Orthopedics)
4320 44TH ST SW, STE 101
GRANDVILLE, MI 49418
Dentist (Orthodontics and Dentofacial Orthopedics)
4320 44TH ST SW
GRANDVILLE, MI 49418
Psychologist (Counseling)
4320 44TH ST 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 Michael Wierenga's NPI number?

The NPI number for Michael Wierenga is 1578823993. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Michael Wierenga located?

Michael Wierenga practices at 4320 44th St SW Ste 106, Grandville, MI 49418. The listed phone number is (616) 530-2200.

What is Michael Wierenga's specialty?

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

Is Michael Wierenga enrolled in Medicare?

Yes. Michael Wierenga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Wierenga was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.