Active NPI
Jacob Dante Lupini, DDS
- General Practice Dentistry
- Trenton, MI
National Provider Identifier
1275223521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901601771
- Practice address
- 1680 Kingsway CT Ste 1
Trenton, MI 48183-1957 - Phone
- (734) 675-2510
- Fax
- (734) 675-7130
- NPI assigned
- May 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901601771 | MI | Primary |
Addresses
Primary practice location
1680 Kingsway CT Ste 1
Trenton, MI 48183-1957
Mailing address
15794 Garrison LN
Southgate, MI 48195-2639
Phone (517) 993-3269
Other practice location 1
1680 Kingsway Ct Ste 2
Trenton, MI 48183-1957
Phone (734) 676-5656
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901601771 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chad C Carver DDS ,PLLC | Past | Accepting new patients | |
| Daniel Murphy DDS | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Trenton, MI
- NPI 1578202941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1275223521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15794 GARRISON LN",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952639",
"telephone_number": "517-993-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 KINGSWAY CT STE 1",
"city": "TRENTON",
"state": "MI",
"postal_code": "481831957",
"telephone_number": "734-675-2510",
"fax_number": "734-675-7130"
}
],
"practiceLocations": [
{
"address_1": "1680 Kingsway Ct Ste 2",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "MI",
"postal_code": "481831957",
"country_code": "US",
"telephone_number": "734-676-5656",
"fax_number": "734-676-5656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUPINI",
"first_name": "JACOB",
"middle_name": "DANTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-10",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901601771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.