NPIMap

Organization Active NPI

Knee and Orthopaedic Center of Lapeer PC

  • Orthopaedic Surgery Physician
  • Lapeer, MI
National Provider Identifier
1700839271
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
KNEE AND ORTHOPAEDIC CENTER OF LAPEER PC
Practice address
1245 N Main St
Lapeer, MI 48446-1346
Phone
(810) 664-3721
Fax
(810) 664-3032
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. John George Desantis, D.O.NPI 1245205137
Title
President/Orthopaedic Surgeon
Phone
(810) 664-3721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X MI Primary

Addresses

Primary practice location

1245 N Main St
Lapeer, MI 48446-1346

Mailing address

1245 N Main St
Lapeer, MI 48446-1346
Phone (810) 664-3721

Other identifiers 3

IdentifierTypeStateIssuer
CH9880OtherMITRAVELERS MEDICARE
200D410090OtherMIBCBSM GROUP NUMBER
0D41009OtherMIBLUE CARE NETWORK GROUP

Other names 1

  • KNEE AND ORTHOPAEDIC CENTER OF LAPEER PC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1700839271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "810-664-3721",
            "fax_number": "810-664-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "810-664-3721",
            "fax_number": "810-664-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEE AND ORTHOPAEDIC CENTER OF LAPEER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "810-664-3721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CH9880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "200D410090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK GROUP",
            "identifier": "0D41009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNEE AND ORTHOPAEDIC CENTER OF LAPEER PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.