LMG Inc

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

LMG INC

Practice address

200 W Silver Spring Dr
Suite 310
Milwaukee, WI 53217-5059

Phone

(414) 962-3100

Fax

(414) 962-9599

NPI assigned

Feb 15, 2017

Organization subpart

Yes

Parent organization

LMG INCAs reported in NPPES

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

Authorized official

Name

Jay L Mackman, D.D.S.

Title

Owner-Director

Phone

(414) 476-9400

Specialties & licenses 1

Addresses

Part of

LMG Inc

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1730628330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST",
            "address_2": "SUITE 105",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-476-9400",
            "fax_number": "414-755-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SILVER SPRING DR",
            "address_2": "SUITE 310",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175059",
            "telephone_number": "414-962-3100",
            "fax_number": "414-962-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LMG INC",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "MACKMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "414-476-9400",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.