Active NPI
John S Faber, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901016480
- 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
- Feb 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901016480 | MI | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2901016480 | MI |
Addresses
Primary practice location
5238 W St Joe Hwy
Suite 2
Lansing, MI 48917-4085
Mailing address
5526 White Ash
Haslett, MI 48840-9799
Phone (517) 339-7864
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- University of Michigan School of Dentistry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 Okemos Rd
Okemos, MI 48864-3200
Phone (517) 349-8383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901016480 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral Surgery Associates of Lansing PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
3515 Coolidge Rd
Ste B
East Lansing, MI 48823
Phone (517) 999-3930
2240 S State Rd
Ionia, MI 48846
Phone (616) 523-9000
5238 W St Joe Hwy
Ste 2
Lansing, MI 48917
Phone (517) 323-1000
4201 Okemos Rd
Okemos, MI 48864
Phone (517) 349-8383
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ionia Oral Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Lansing, MI
- NPI 1881797983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1487757563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 WHITE ASH",
"city": "HASLETT",
"state": "MI",
"postal_code": "488409799",
"telephone_number": "517-339-7864"
},
{
"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": "FABER",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "2901016480",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MI",
"license": "2901016480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.