Active NPI
BDD of Michigan P.C.
- General Practice Dentistry
- Lansing, MI
National Provider Identifier
1760153720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BDD OF MICHIGAN P.C.
- Practice address
- 2410 Lake Lansing Rd Ste 2
Lansing, MI 48912-3659 - Phone
- (517) 371-5342
- NPI assigned
- Sep 21, 2021
- Organization subpart
- Yes
- Parent organization
- BDD OF MICHIGAN PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Jorbin
- Title
- Cfo
- Phone
- (312) 805-8590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2410 Lake Lansing Rd Ste 2
Lansing, MI 48912-3659
Mailing address
PO Box 8250
Carol Stream, IL 60197-8250
Phone (517) 394-4040
Other names 1
- Derksen Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- BDD of Michigan PC
- Part of
- BDD of Michigan PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Lansing, MI
- NPI 1538830591
-
- Dentist
- Lansing, MI
- NPI 1861164071
-
- Dentist
- Traverse City, MI
- NPI 1992476964
Locations
2410 Lake Lansing Rd
Ste 2
Lansing, MI 48912
Phone (517) 371-5342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776556800000",
"number": "1760153720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8250",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601978250",
"telephone_number": "517-394-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 LAKE LANSING RD STE 2",
"city": "LANSING",
"state": "MI",
"postal_code": "489123659",
"telephone_number": "517-371-5342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BDD OF MICHIGAN P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BDD OF MICHIGAN PC",
"enumeration_date": "2021-09-21",
"last_updated": "2026-04-19",
"certification_date": "2026-04-19",
"status": "A",
"authorized_official_last_name": "JORBIN",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "312-805-8590"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Derksen Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.