Organization Active NPI

BDD of Michigan P.C.

  • General Practice Dentistry
  • Lansing, MI
National Provider Identifier
1760153720
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BDD of Michigan PC4 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.