LMG Inc

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

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

Organization subpart

Yes

Parent organization

LMG INCAs reported in NPPES

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

Specialties & licenses 1

Addresses

Part of

LMG Inc

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": []
}

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• 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.

Verify at the official NPI Registry.