Organization Active NPI

Caring Convenient Dentistry of East Lansing PC

  • General Practice Dentistry
  • East Lansing, MI
National Provider Identifier
1407248107
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARING CONVENIENT DENTISTRY OF EAST LANSING PC
Practice address
604 Michigan Ave
East Lansing, MI 48823-4219
Phone
(517) 332-8665
Fax
(517) 332-1036
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Paul M Hanysz, DDSNPI 1841270287
Title
Owner
Phone
(517) 332-8665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

604 Michigan Ave
East Lansing, MI 48823-4219

Mailing address

604 Michigan Ave
East Lansing, MI 48823-4219
Phone (517) 332-8665

National Provider Directory

National Provider Directory

Locations

604 Michigan Ave
East Lansing, MI 48823
Phone (517) 332-8665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1407248107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MICHIGAN AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234219",
            "telephone_number": "517-332-8665",
            "fax_number": "517-332-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MICHIGAN AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234219",
            "telephone_number": "517-332-8665",
            "fax_number": "517-332-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING CONVENIENT DENTISTRY OF EAST LANSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "HANYSZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-332-8665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.