Luke Mackley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600850 Issued in MI

Practice address

4911 W St Joe Hwy # 202
Lansing, MI 48917-4088

Phone

(517) 321-1848

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1659946150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 ALLIUM DR",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488428769",
            "telephone_number": "586-453-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W ST JOE HWY # 202",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174088",
            "telephone_number": "517-321-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLEY",
        "first_name": "LUKE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Mach
• Alexandra Mack, LLMSW
• John William Mack, DO
• Andrew Blaine Mackersie, M.D.
• Eban James Mackey II
• Melody Maclachlan, MSW
• Donald J Macphail, PA
• Anna Maddox
• Tracy Maddox
• Ogenetega Jeremiah Madedor, MD

• General Practice Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.