NPIMap

Organization Active NPI

Lakeland Housecalls

  • General Practice Physician
  • Niles, MI
National Provider Identifier
1699086744
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LAKELAND HOUSECALLS
Practice address
122 Grant St
Niles, MI 49120-2281
Phone
(269) 985-4401
Fax
(269) 684-0189
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dennis Mack
Title
V P Operations & Facility
Phone
(269) 983-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

122 Grant St
Niles, MI 49120-2281

Mailing address

122 Grant St
Niles, MI 49120-2281
Phone (269) 985-4401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1699086744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GRANT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202281",
            "telephone_number": "269-985-4401",
            "fax_number": "269-684-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GRANT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202281",
            "telephone_number": "269-985-4401",
            "fax_number": "269-684-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOUSECALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "V P OPERATIONS & FACILITY",
        "authorized_official_telephone_number": "269-983-8399"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.