Individual provider Active NPI

John S Faber, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansing, MI
National Provider Identifier
1487757563
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901016480 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
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000106 MI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3971682881 Reassigns benefits to 1 organization

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

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

LicenseStateTypeSpecialty
2901016480MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Associates of Lansing PC Oral and Maxillofacial Surgery CurrentSince Jan 1, 1993 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.

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

Verify at the official NPI Registry.