Joseph Vincent Mauro, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

JM012412 Issued in MI

Practice address

231 W. Lake Lansing Rd, Suite 200
East Lansing, MI 48823-8451

Phone

(517) 272-0886

Fax

(517) 272-0887

NPI assigned

Jun 5, 2006

Last updated

May 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Central Michigan Group

  • Oral and Maxillofacial Surgery Clinic/Center
  • East Lansing, MI
  • NPI 1124540240
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1508805607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1478",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488261478",
            "telephone_number": "517-272-0886",
            "fax_number": "517-272-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W. LAKE LANSING RD, SUITE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238451",
            "telephone_number": "517-272-0886",
            "fax_number": "517-272-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "JOSEPH",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "JM012412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Brooke Matson
• Amanda Marie Mattingley, PA-C
• Emilia Elizabeth Mattioli, MD
• Bonnie Aline Matus, PTA
• Julie A Matyasic, P.A.
• Dana Marie Maxwell, BCBA
• Aaliyah Alicia Mayes
• Lindsey Elise Maynard
• Hassan Mazloum
• Rya McCann, LMSW

• Oral and Maxillofacial Surgery (Dentist) in East Lansing, MI
• Providers in East 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 May 10, 2022; 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.