Active NPI
Jessica Marie Lambert, D.D.S.
- General Practice Dentistry
- Muskegon, MI
National Provider Identifier
1649653817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901021621
- Practice address
- 5978 Harvey St.
Muskegon, MI 49441 - Phone
- (231) 799-0404
- Fax
- (231) 799-0014
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5315072223 | MI | |
| General Practice Dentistry | 1223G0001X | 2901021621 | MI | Primary |
Addresses
Primary practice location
5978 Harvey St.
Muskegon, MI 49441
Mailing address
5978 Harvey St.
Muskegon, MI 49441
Phone (231) 799-0404
Other names 1
- Ms. Jessica Marie Bodenberg
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315072223 | MI | MD | Dentist |
| 2901021621 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James F. Hegedus DDS, PC | Dentist | Past | Accepting new patients |
| Glde, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1649653817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5978 HARVEY ST.",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49441",
"telephone_number": "231-799-0404",
"fax_number": "231-799-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5978 HARVEY ST.",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49441",
"telephone_number": "231-799-0404",
"fax_number": "231-799-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "5315072223",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901021621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BODENBERG",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.