Individual provider Active NPI

Lane C. Stumpos, DDS

  • General Practice Dentistry
  • Albion, MI
National Provider Identifier
1497758320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014149 Issued in MI
Practice address
301 E Michigan Ave
Albion, MI 49224-1793
Phone
(517) 629-9107
NPI assigned
May 24, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014149 MI Primary

Addresses

Primary practice location

301 E Michigan Ave
Albion, MI 49224-1793

Mailing address

301 E Michigan Ave
Albion, MI 49224-1793
Phone (517) 629-9107

Other identifiers 1

IdentifierTypeStateIssuer
4252641MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014149MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lane C. Stumpos DDS PC Past Accepting new patients

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497758320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MICHIGAN AVE",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241793",
            "telephone_number": "517-629-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MICHIGAN AVE",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241793",
            "telephone_number": "517-629-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMPOS",
        "first_name": "LANE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4252641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.