Lansing Community College

Primary specialty

DentistTaxonomy code 122300000X

License

88024 Issued in MI

Legal business name

LANSING COMMUNITY COLLEGE

Practice address

515 N. Washington SQ.
Lansing, MI 48933

Phone

(517) 483-1458

Fax

(517) 483-9925

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Kohlmann, MA, RDH, RDA

Title

Academic Team Leader - Dental PRGM.

Phone

(517) 483-1457

Specialties & licenses 1

Addresses

Other names 1

• Lansing Community College Dental Hygiene Clinic Other name

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467501130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40010",
            "address_2": "MC 3100 DENTAL HYGIENE PROGRAM",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489017210",
            "telephone_number": "517-483-1458",
            "fax_number": "517-483-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N. WASHINGTON SQ.",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48933",
            "telephone_number": "517-483-1458",
            "fax_number": "517-483-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHLMANN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ACADEMIC TEAM LEADER - DENTAL PRGM.",
        "authorized_official_telephone_number": "517-483-1457",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, RDH, RDA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "88024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansing Community College Dental Hygiene Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Lansing Dental Associates PLLC
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• Lansing Health Supplies
• Lansing Hernia Center PC
• Lansing Institute of Behavioral Medicine, PLLC

• All providers in Lansing, MI
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.