Individual provider Active NPI

William A Schiro, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansing, MI
National Provider Identifier
1255385704
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
WS013096 Issued in MI
Practice address
4305 Five Oaks Dr
Lansing, MI 48911-4214
Phone
(517) 699-2700
Fax
(517) 708-8527
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X WS013096 MI Primary

Addresses

Primary practice location

4305 Five Oaks Dr
Lansing, MI 48911-4214

Mailing address

4305 Five Oaks Dr
Lansing, MI 48911-4214
Phone (517) 699-2700

Other practice location 1

1501 Waterford Pkwy
Saint Johns, MI 48879-9631
Phone (989) 224-8911

Other identifiers 5

IdentifierTypeStateIssuer
975331061OtherMIBLUE CARE NETWORK
4062983OtherMIAETNA
4308810OtherMIPHYSICIANS HEALTH PLAN
5331061OtherMIBLUE CROSS BLUE SHIELD
546703OtherMIUNITED CONCORDIA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430000118 MI Practitioner - Maxillofacial Surgery 2860489929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Marquette University School of Dentistry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4305 Five Oaks Dr
Lansing, MI 48911-4214
Phone (517) 699-2700

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WS013096MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Los Equipment Corporation Oral and Maxillofacial Surgery CurrentSince May 31, 2012 Accepting new patients
William a. Schiro, D.D.S, P.L.L.C. Oral and Maxillofacial Surgery PastSince Jan 1, 2004 Accepting new patients

Locations

4305 Five Oaks Dr
Lansing, MI 48911
Phone (517) 699-2700

6810 S Cedar St
Ste 5
Lansing, MI 48911
Phone (517) 699-2700

6810 S Cedar St
Lansing, MI 48911
Phone (517) 234-4500

1501 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 224-8911

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1255385704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 FIVE OAKS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114214",
            "telephone_number": "517-699-2700",
            "fax_number": "517-708-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 FIVE OAKS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114214",
            "telephone_number": "517-699-2700",
            "fax_number": "517-708-8527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Waterford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488799631",
            "country_code": "US",
            "telephone_number": "989-224-8911",
            "fax_number": "517-708-8527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIRO",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "WS013096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "975331061",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4062983",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "4308810",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5331061",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "546703",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.