Progressive Periodontics PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901017282 Issued in MI

Legal business name

PROGRESSIVE PERIODONTICS PC

Practice address

2412 Lake Lansing Rd
Lansing, MI 48912-3618

Phone

(517) 372-7347

Fax

(517) 372-7349

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher E Kazor, DDS, MS, PHDNPI 1497897573

Title

President

Phone

(517) 372-7347

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Christopher E Kazor, DDS, MS, PHD

  • Periodontics
  • Lansing, MI
  • NPI 1497897573
  NPD (past) Authorized official
• Robert W Hostetler, DDS, MS

  • Periodontics
  • Lansing, MI
  • NPI 1801938964
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669544888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123618",
            "telephone_number": "517-372-7347",
            "fax_number": "517-372-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123618",
            "telephone_number": "517-372-7347",
            "fax_number": "517-372-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PERIODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZOR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-372-7347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901017282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Lansing, MI
• Providers in Lansing, MI by specialty
• Periodontics in Michigan

• 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.