Jack a Dekkinga MD PC
NPI 1609896034 · Dermatology Physician · Grandville, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack a Dekkinga MD PC is a Dermatology Physician organization in Grandville, MI (NPI 1609896034).
Provider details
- NPI number
- 1609896034
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Ang, President(616) 257-3344
- License
- 4301039679 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- West Michigan Dermatology
Additional practice locations (2)
- 3290 N Wellness Dr Ste 240Holland, MI 49424-7261Phone: (616) 395-9379Fax: (616) 820-1457
- 6150 Northland DriveRockford, MI 49341Phone: (616) 942-9343Fax: (616) 942-2538
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2024-07-31
- Certified
- 2024-07-23
Frequently asked questions
- What is Jack a Dekkinga MD PC's NPI number?
- Jack a Dekkinga MD PC's National Provider Identifier (NPI) is 1609896034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack a Dekkinga MD PC?
- Jack a Dekkinga MD PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack a Dekkinga MD PC located?
- Jack a Dekkinga MD PC's practice location on file with NPPES is 3434 Rivertown Point Ct Sw, Grandville, MI 49418-3076.
- What is Jack a Dekkinga MD PC's phone number?
- The practice phone number listed in the NPPES registry for Jack a Dekkinga MD PC is (616) 257-3344.
- Does Jack a Dekkinga MD PC accept Medicare?
- Jack a Dekkinga MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack a Dekkinga MD PC?
- The authorized official listed on Jack a Dekkinga MD PC's NPPES record is Gina Ang, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack a Dekkinga MD PC's NPI active?
- Yes — Jack a Dekkinga MD PC's NPI (1609896034) is active in the NPPES registry as of the last update on 2024-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.