Dr. Nicholas Lagow, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. NICHOLAS LAGOW, P.C.

Doing business as

Summit Heights Dental Care

Practice address

2021 W Michigan Ave
Jackson, MI 49202-4010

Phone

(517) 358-0860

Fax

(517) 787-1464

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Lee Lagow, DDSNPI 1770743478

Title

Owner

Phone

(517) 937-2494

Specialties & licenses 1

Addresses

Other names 1

• Summit Heights Dental Care Doing business as

Locations

Practitioners 2

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

• Nicholas Lee Lagow, D.D.S.

  • Dentist
  • Jackson, MI
  • NPI 1770743478
  NPD Authorized official
• Thomas Earl Holman, DDS

  • Dentist
  • Jackson, MI
  • NPI 1205027091
  NPD (past)

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1285377085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024010",
            "telephone_number": "517-358-0860",
            "fax_number": "517-787-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024010",
            "telephone_number": "517-358-0860",
            "fax_number": "517-787-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICHOLAS LAGOW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "LAGOW",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-937-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Heights Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brian Draper
• Matthew Lewis Draper, FNP-C, RN, AT, ATC

• Dental Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.