Charles Ian McLaren, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018085 Issued in MI

Practice address

308 Northgate Dr
Midland, MI 48640-7348

Phone

(989) 631-7880

Fax

(989) 631-2865

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signature Dental

  • General Practice Dentistry
  • Bay City, MI
  • NPI 1518534668
  Medicare reassignment NPD
• McLaren Dental Associates, P.C.

  • General Practice Dentistry
  • Midland, MI
  • NPI 1205945573
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1184738486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NORTHGATE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407348",
            "telephone_number": "989-631-7880",
            "fax_number": "989-631-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NORTHGATE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407348",
            "telephone_number": "989-631-7880",
            "fax_number": "989-631-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAREN",
        "first_name": "CHARLES",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie McIlvenna, DMIN
• Mark Kristofer McIntire, PA
• Nolan McIntosh, PT, DPT, ATC
• McLaren Dental Associates, P.C.
• McLaren Health Management Group
• John Duncan McLaren, DDS, MS
• Jennifer Smith McLeod, M.D.
• Eileen Mary McMahon, PT
• Emily McMenemy
• Alyssa McMillan

• General Practice Dentistry in Midland, MI
• Providers in Midland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.