DR. DOUGLAS A BLEYENBURG DDS
NPI 1811140973
Dentist in Holland, MI

Q: What is Douglas Bleyenburg's NPI number?

The NPI number for Douglas Bleyenburg is 1811140973. It was assigned to this individual provider in the NPPES registry on November 2, 2008.

Q: What is Douglas Bleyenburg's specialty?

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

Active since November 02, 2008PECOS Enrolled

170 COLLEGE AVE STE 220, HOLLAND, MI 49423(616) 392-2302(616) 392-9070 Get Directions Write a Review

NPPES record last updated: November 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Douglas A Bleyenburg Dds NPPES

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

DR. DOUGLAS A BLEYENBURG DDS (NPI 1811140973) is an individual dentist in Holland, Michigan, licensed in Michigan (16773) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811140973

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DOUGLAS A BLEYENBURGCredential: DDS

Location Address170 COLLEGE AVE STE 220Holland, MI 49423-2982

Mailing Address170 College Ave Ste 220Holland, MI 49423-2982 · (616) 392-2302 · Fax (616) 392-9070

Phone(616) 392-2302

Fax(616) 392-9070

Sole ProprietorYes

Enumeration DateNovember 2, 2008

✔ NPI 1811140973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 16773

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.

170 COLLEGE AVE STE 220, Holland, MI 49423

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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)

Dr. Douglas A Bleyenburg 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 49423 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.

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 Douglas Bleyenburg's NPI number?

The NPI number for Douglas Bleyenburg is 1811140973. It was assigned to this individual provider in the NPPES registry on November 2, 2008.

Where is Douglas Bleyenburg located?

Douglas Bleyenburg practices at 170 College Ave Ste 220, Holland, MI 49423. The listed phone number is (616) 392-2302.

What is Douglas Bleyenburg's specialty?

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

Is Douglas Bleyenburg enrolled in Medicare?

Yes. Douglas Bleyenburg is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Bleyenburg accept?

Health plans from Delta Dental of Michigan list Douglas Bleyenburg 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 Douglas Bleyenburg was last updated on November 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.