Individual provider Active NPI

Lawrence Jelsch, DDS

  • General Practice Dentistry
  • Belleville, MI
National Provider Identifier
1306992599
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016079 Issued in MI
Practice address
152 Main St
Suite 7
Belleville, MI 48111-3922
Phone
(734) 697-8597
NPI assigned
Jan 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016079 MI Primary

Addresses

Primary practice location

152 Main St
Suite 7
Belleville, MI 48111-3922

Mailing address

152 Main St Ste 7
Belleville, MI 48111-3911
Phone (734) 697-8597

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225002655 MI Order and Referring Only - DentistPractitioner - Dentist 9234434440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016079MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lawrence Jelsch CurrentSince Oct 21, 2025 Accepting new patients

Locations

152 Main St
Ste 7
Belleville, MI 48111
Phone (734) 697-8597

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1306992599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MAIN ST STE 7",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113911",
            "telephone_number": "734-697-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAIN ST",
            "address_2": "SUITE 7",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113922",
            "telephone_number": "734-697-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELSCH",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

Verify at the official NPI Registry.