Organization Active NPI

Lapeer Family Dentistry PLLC

  • General Practice Dentistry
  • Lapeer, MI
National Provider Identifier
1619061413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17521 Issued in MI
Legal business name
LAPEER FAMILY DENTISTRY PLLC
Practice address
72 W Nepessing St
Lapeer, MI 48446-2144
Phone
(810) 664-2999
Fax
(810) 664-5077
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Buford Harrison Shumaker, DDS
Title
Member
Phone
(810) 664-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17521 MI Primary

Addresses

Primary practice location

72 W Nepessing St
Lapeer, MI 48446-2144

Mailing address

72 W Nepessing St
Lapeer, MI 48446-2144
Phone (810) 664-2999

National Provider Directory

National Provider Directory

Locations

72 W Nepessing St
Lapeer, MI 48446
Phone (248) 421-8918

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619061413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462144",
            "telephone_number": "810-664-2999",
            "fax_number": "810-664-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462144",
            "telephone_number": "810-664-2999",
            "fax_number": "810-664-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUMAKER",
        "authorized_official_first_name": "BUFORD",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "810-664-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • 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.