Active NPI
LMG Inc
- Oral and Maxillofacial Pathology Dentistry
- Appleton, WI
National Provider Identifier
1063951663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- Legal business name
- LMG INC
- Practice address
- W3134 Van Roy Rd
Appleton, WI 54915-3982 - Phone
- (920) 882-1710
- Fax
- (920) 882-1708
- NPI assigned
- Feb 15, 2017
- Last updated
- Aug 28, 2023
- Organization subpart
- Yes
- Parent organization
- LMG INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay L Mackman, D.D.S.
- Title
- Owner-Director
- Phone
- (414) 476-9400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | Primary |
Addresses
Primary practice location
W3134 Van Roy Rd
Appleton, WI 54915-3982
Mailing address
2626 N 76TH St
Suite 105
Wauwatosa, WI 53213-1137
Phone (414) 476-9400
National Provider Directory
National Provider Directory- Part of
- LMG Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Pathology Dentistry
- Wauwatosa, WI
- NPI 1821194184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1063951663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N 76TH ST",
"address_2": "SUITE 105",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131137",
"telephone_number": "414-476-9400",
"fax_number": "414-755-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W3134 VAN ROY RD",
"city": "APPLETON",
"state": "WI",
"postal_code": "549153982",
"telephone_number": "920-882-1710",
"fax_number": "920-882-1708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LMG INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LMG INC",
"enumeration_date": "2017-02-15",
"last_updated": "2023-08-28",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "MACKMAN",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER-DIRECTOR",
"authorized_official_telephone_number": "414-476-9400",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.