Active NPI
Adam Lawrence, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Midland, MI
National Provider Identifier
1134525967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 2901022843
- Practice address
- 6112 Merlin CT
Midland, MI 48640 - Phone
- (989) 839-5833
- Fax
- (989) 839-9553
- NPI assigned
- Nov 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 018.001932 | IL | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2901022843 | MI | Primary |
Addresses
Primary practice location
6112 Merlin CT
Midland, MI 48640
Mailing address
6112 Merlin CT
Midland, MI 48640-7358
Phone (989) 839-5833
Other practice location 1
2160 S 1st Ave
Maguire Center 1814
Maywood, IL 60153-3328
Phone (708) 216-3678
Other practice location 2
2160 S 1st Ave
Maguire Center 1814
Maywood, IL 60153-3328
Phone (708) 216-3678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018.001932 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 2901022843 | MI | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1134525967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 MERLIN CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407358",
"telephone_number": "989-839-5833",
"fax_number": "989-839-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6112 MERLIN CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-839-5833",
"fax_number": "989-839-9553"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_2": "Maguire Center 1814",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-3678",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 S 1st Ave",
"address_2": "Maguire Center 1814",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-3678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "ADAM",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-05",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "018.001932",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "MI",
"license": "2901022843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.