NPIMap

Organization Active NPI

Blue Care Network of Michigan

  • Dentist
  • Lansing, MI
National Provider Identifier
1831382407
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18754 Issued in MA
Legal business name
BLUE CARE NETWORK OF MICHIGAN
Practice address
1401 S Creyts Rd
Lansing, MI 48917-8507
Phone
(517) 322-8049
Fax
(517) 322-4486
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Kathy Doll A Doll
Title
Recp.
Phone
(517) 322-8061

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 18503 MI
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 18854 MI
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 18754 MA Primary

Addresses

Primary practice location

1401 S Creyts Rd
Lansing, MI 48917-8507

Mailing address

1401 S Creyts Rd
Lansing, MI 48917-8507
Phone (517) 322-8049

Other identifiers 1

IdentifierTypeStateIssuer
D800318OtherMIBCBSM

National Provider Directory

National Provider Directory
Tax ID family
Blue Care Network of Mi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1831382407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178507",
            "telephone_number": "517-322-8049",
            "fax_number": "517-322-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178507",
            "telephone_number": "517-322-8049",
            "fax_number": "517-322-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CARE NETWORK OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "KATHY DOLL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RECP.",
        "authorized_official_telephone_number": "517-322-8061"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "18503",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "18854",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "D800318",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 27, 2007; 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.