Jeffrey E Persico, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901015669 Issued in MI

Practice address

5238 W St Joe Hwy
Suite 2
Lansing, MI 48917-4085

Phone

(517) 323-1000

Fax

(517) 886-5566

NPI assigned

Sep 6, 2006

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Maxillofacial Surgery

Education

Univ of Pittsburgh School of Dental Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oral Surgery Associates of Lansing PCGroup PAC ID 0547349458, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oral Surgery Associates of Lansing PC

  dba Ionia Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansing, MI
  • NPI 1881797983
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1437252509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 SATINWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643074",
            "telephone_number": "517-831-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 W ST JOE HWY",
            "address_2": "SUITE 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174085",
            "telephone_number": "517-323-1000",
            "fax_number": "517-886-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSICO",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901015669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Perry, NP
• Nancy Spanninga Perry, LMSW ACSW
• Sandra Joi Perry
• Stephanie Perry
• Samantha Lucia Persichilli
• Personal Touch Independent Living Agency
• Cherisse M Peru, FNP
• Alexander Peskin, DO
• Erin Pete
• Cecelia Peterlein, COTA

• Oral and Maxillofacial Surgery (Dentist) in Lansing, MI
• Providers in Lansing, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.