OrganizationActive
Modern Periodontics
NPI 1679855761 · Periodontics · Grand Rapids, MI
Modern Periodontics is a Periodontics organization in Grand Rapids, MI (NPI 1679855761).
Provider details
- NPI number
- 1679855761
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Erin Moerdyke, Office Manager(616) 241-5658
- License
- 16791 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2356 32nd Street
Suite #100
Grand Rapids, MI 49508-1510
Phone: (616) 241-5658
Street-level locationGet directions
Mailing address
2356 32nd Street
Grand Rapids, MI 49508
Registry dates
- Enumerated
- 2011-09-14
- Last updated
- 2011-09-14
Frequently asked questions
- What is Modern Periodontics's NPI number?
- Modern Periodontics's National Provider Identifier (NPI) is 1679855761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Periodontics?
- Modern Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Modern Periodontics located?
- Modern Periodontics's practice location on file with NPPES is 2356 32nd Street, Grand Rapids, MI 49508-1510.
- What is Modern Periodontics's phone number?
- The practice phone number listed in the NPPES registry for Modern Periodontics is (616) 241-5658.
- Who is the authorized official for Modern Periodontics?
- The authorized official listed on Modern Periodontics's NPPES record is Erin Moerdyke, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Periodontics's NPI active?
- Yes — Modern Periodontics's NPI (1679855761) is active in the NPPES registry as of the last update on 2011-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.