Individual provider Active NPI

Thomas G Faiver, D.D.S.

  • General Practice Dentistry
  • East Lansing, MI
National Provider Identifier
1750330205
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013446 Issued in MI
Practice address
1350 E Lake Lansing Rd
Suite a
East Lansing, MI 48823-7413
Phone
(517) 351-7222
Fax
(517) 351-2516
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 013446 MI Primary

Addresses

Primary practice location

1350 E Lake Lansing Rd
Suite a
East Lansing, MI 48823-7413

Mailing address

1350 E Lake Lansing Rd
Suite a
East Lansing, MI 48823-7413
Phone (517) 351-7222

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
I20150626001604 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133431554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013446MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G. Faiver DDS PC Current Accepting new patients

Locations

1350 E Lake Lansing Rd
Ste A
East Lansing, MI 48823
Phone (517) 351-7222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1750330205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E LAKE LANSING RD",
            "address_2": "SUITE A",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237413",
            "telephone_number": "517-351-7222",
            "fax_number": "517-351-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E LAKE LANSING RD",
            "address_2": "SUITE A",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237413",
            "telephone_number": "517-351-7222",
            "fax_number": "517-351-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIVER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "013446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.