Individual provider Active NPI

Jeffrey Kent Bastin, DDS

  • Dentist
  • Sturgis, MI
National Provider Identifier
1144290487
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
013588 Issued in MI
Practice address
401 N Lakeview St
Sturgis, MI 49091-1229
Phone
(269) 651-1716
Fax
(269) 651-1717
NPI assigned
Jan 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 013588 MI Primary

Addresses

Primary practice location

401 N Lakeview St
Sturgis, MI 49091-1229

Mailing address

401 N Lakeview St
Sturgis, MI 49091-1229
Phone (269) 651-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605000127 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981925799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013588MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144290487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N LAKEVIEW ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911229",
            "telephone_number": "269-651-1716",
            "fax_number": "269-651-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N LAKEVIEW ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911229",
            "telephone_number": "269-651-1716",
            "fax_number": "269-651-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIN",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "013588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

Verify at the official NPI Registry.