Individual provider Active NPI

Benjamin Steven Jamo, D.D.S.

  • Dentist
  • East Lansing, MI
National Provider Identifier
1699187203
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021239 Issued in MI
Practice address
335 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8486
Phone
(517) 339-1012
Fax
(517) 339-0642
NPI assigned
May 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021239 MI Primary

Addresses

Primary practice location

335 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8486

Mailing address

335 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8486
Phone (517) 339-1012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311000233 MI Order and Referring Only - DentistPractitioner - Dentist 5597061911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021239MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin S. Jamo DDS, PLLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

335 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 339-1012

Organizations & group practices 1

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": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1699187203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238486",
            "telephone_number": "517-339-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238486",
            "telephone_number": "517-339-1012",
            "fax_number": "517-339-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMO",
        "first_name": "BENJAMIN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-30",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.