Central Michigan Group

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

JM012412 Issued in MI

Legal business name

CENTRAL MICHIGAN GROUP

Practice address

231 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8451

Phone

(517) 272-0886

Fax

(517) 272-0887

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Joesph Vincent Mauro, DDS

Title

Owner

Phone

(517) 272-0886

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Vincent Mauro, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • East Lansing, MI
  • NPI 1508805607
  NPD

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124540240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238451",
            "telephone_number": "517-272-0886",
            "fax_number": "517-272-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238451",
            "telephone_number": "517-272-0886",
            "fax_number": "517-272-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S Crapo St Ste K",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488582961",
            "country_code": "US",
            "telephone_number": "989-953-4200",
            "fax_number": "989-953-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-272-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "JM012412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "5330109",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in East Lansing, MI
• Oral and Maxillofacial Surgery Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.