Organization Active NPI

Michael Frances Lahey DDS

  • General Practice Dentistry
  • Lake City, MI
National Provider Identifier
1245848738
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL FRANCES LAHEY DDS
Practice address
301 N Main St
Lake City, MI 49651-5102
Phone
(231) 839-4673
Fax
(231) 838-7874
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Dr. Judy Lynn Wybenga, DDS
Title
Dentist
Phone
(989) 400-4997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

301 N Main St
Lake City, MI 49651-5102

Mailing address

301 N Main St
Lake City, MI 49651-5102
Phone (231) 839-4673

Other practice location 1

305 E Broadway St
Mount Pleasant, MI 48858-2647
Phone (989) 779-8747

Other names 2

  • Four seasons Dental Associates Doing business as
  • judy wybenga, dds Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1245848738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496515102",
            "telephone_number": "231-839-4673",
            "fax_number": "231-838-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496515102",
            "telephone_number": "231-839-4673",
            "fax_number": "231-838-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582647",
            "country_code": "US",
            "telephone_number": "989-779-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL FRANCES LAHEY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "WYBENGA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "989-400-4997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four seasons Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "judy wybenga, dds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.