Michigan Dental Associates - Lansing PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013819 Issued in MI

Legal business name

MICHIGAN DENTAL ASSOCIATES - LANSING PC

Doing business as

Painless Dentistry IV PC

Practice address

1808 S Pennsylvania Ave
Lansing, MI 48910-1897

Phone

(734) 234-6040

NPI assigned

Jun 30, 2017

Last updated

Jun 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martha J Harp

Title

Director of Insurance Operations

Phone

(678) 372-7358

Specialties & licenses 1

Addresses

Other names 1

• Painless Dentistry IV PC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1033630975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PEACHTREE ST NE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094425",
            "telephone_number": "404-537-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 S PENNSYLVANIA AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489101897",
            "telephone_number": "734-234-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTAL ASSOCIATES - LANSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE OPERATIONS",
        "authorized_official_telephone_number": "678-372-7358"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Painless Dentistry IV PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael T. Nykamp, DDS Family & Cosmetic Dentistry, PLLC
• Michel C Nasif DDS PLLC
• Mia Michelena, D.O.
• Michigan Avenue Residential Care Inc.
• Michigan Community Care Collaborative
• Michigan Dept of Health and Human Services (State Laboratory)
• Michigan Home Dialysis Center, LLC. (RCG Lansing)
• Michigan Medical Services PC (Americare Medical and Mental Health)
• Michigan Occupational Health Rehab, PC
• Michigan Orthopedic Center P C

• General Practice Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.