Cardon & Sorrow Oral and Maxillofacial Surgery PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

OC016653 Issued in MI

Legal business name

CARDON & SORROW ORAL AND MAXILLOFACIAL SURGERY PLC

Practice address

683 Robinson Rd
Jackson, MI 49203-1155

Phone

(517) 787-0417

Fax

(517) 787-5536

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Orson P Cardon, D.M.D.NPI 1851496830

Title

Owner, President

Phone

(517) 787-0417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orson P Cardon, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson, MI
  • NPI 1851496830
  Medicare reassignment Care Compare group Authorized official
• Ronnie Ray Sorrow Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson, MI
  • NPI 1962659680
  Medicare reassignment Care Compare group NPD
• Jerry B Booth, D.D.S, M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson, MI
  • NPI 1134224116
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1639369358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 ROBINSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031155",
            "telephone_number": "517-787-0417",
            "fax_number": "517-787-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 ROBINSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031155",
            "telephone_number": "517-787-0417",
            "fax_number": "517-787-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDON & SORROW ORAL AND MAXILLOFACIAL SURGERY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "ORSON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "517-787-0417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "OC016653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Cannon, FNP-BC
• Charieville Balawang Carcellar
• Emilee Card
• Rene Cardenas, MD
• Cardiology Group of Lansing P C
• Orson P Cardon, D.M.D.
• Care That Matters
• Care That Matters Home Health Care LLC
• Carelinc Medical Equipment & Supply Co LLC
• Careline Cmi100 LLC

• Oral and Maxillofacial Surgery (Dentist) in Jackson, MI
• Providers in Jackson, 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 Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.