Lakewinds Dental Centre

Primary specialty

DentistTaxonomy code 122300000X

License

19317 Issued in MI

Legal business name

LAKEWINDS DENTAL CENTRE

Practice address

409 W Ludington Ave Ste 101
Ludington, MI 49431-2377

Phone

(231) 845-7240

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Renee Anne Caithamer

Title

Financial Coordinator

Phone

(231) 845-7240

Specialties & licenses 3

Addresses

Locations

Practitioners 3

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

• Jason Richard Martin, D.D.S.

  • General Practice Dentistry
  • Ludington, MI
  • NPI 1518036524
  NPD (past)
• Erik Nelson Molby, DMD

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1700912284
  NPD (past)
• Jason Theodore Schlueter, DDS

  • General Practice Dentistry
  • Ludington, MI
  • NPI 1649761115
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1730338096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W LUDINGTON AVE STE 101",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312377",
            "telephone_number": "231-845-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W LUDINGTON AVE STE 101",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312377",
            "telephone_number": "231-845-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWINDS DENTAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "CAITHAMER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "231-845-7240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "10255",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "19317",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "17339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Thomas Ladaga, DO
• Lakeshore Regional Entity
• Lakeshore Spine and Pain P C
• Lakeshore Spine and Pain PC
• Lakeshore Vein &Laser Clinic PLLC
• Britney Laman, LMSW
• Jaime Lynn Lamendola, RN
• Amanda L Lang, O.D.
• Rebecca Sue Lange, LMSW
• Keith David Langlois, MD

• Dentist in Ludington, MI
• Providers in Ludington, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.