Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164402848 Deactivated / Inactive NPI Male Practitioner

Dr. John Paul Van Tiem , DDS

Dentist • Stockbridge, MI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Van Tiem has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2006
NPI Deactivation Date June 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Van Tiem, DDS was a registered Dentist practicing in Stockbridge, MI. Throughout an active medical career spanning 15 years, Dr. Van Tiem provided care at the practice location at 120 E MAIN ST until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

120 E Main St

Stockbridge, MI 492859482

Telephone 5178518455
Fax 5178518455
Associated Practice Facility / Clinic
🏢 John Van Tiem D.d.s. P.c. Facility NPI 1881615383

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Stockbridge, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Stockbridge, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901011876

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1073730321

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 120 E MAIN ST, STOCKBRIDGE, MI 492859482 (Tel: 5178518455)

📍
Updated Business Mailing Address July 08, 2007

Registered at 120 E. MAIN ST., STOCKBRIDGE, MI 492850093 (Tel: 5178518455)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN VAN TIEM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901011876 in MI)

🟢
Initial NPI Registration & Enumeration January 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Van Tiem. Be the first to share your experience!

Sign in to leave a review for Dr. John Van Tiem

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164402848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2006
Last Update: July 08, 2007
Deactivation Date: June 16, 2021

Mailing Address

120 E. Main St.

Stockbridge, MI 492850093

Phone: 5178518455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.