Individual provider Active NPI

Orson P Cardon, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson, MI
National Provider Identifier
1851496830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
OC016653 Issued in MI
Practice address
683 Robinson Rd
Jackson, MI 49203-1155
Phone
(517) 787-0417
Fax
(517) 787-5536
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X OC016653 MI Primary

Addresses

Primary practice location

683 Robinson Rd
Jackson, MI 49203-1155

Mailing address

2550 Meadowbrook LN
Jackson, MI 49201-7702
Phone (517) 563-8247

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000602 MI Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4789629320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardon and Sorrow Oral and Maxillofacial Surgery PLCGroup PAC ID 5799922712, 2 clinicians

Practice addresses (Care Compare)

683 Robinson Rd
Jackson, MI 49203-1155
Phone (517) 787-0417

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC016653MIMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: ocardon462853@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851496830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MEADOWBROOK LN",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017702",
            "telephone_number": "517-563-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 ROBINSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031155",
            "telephone_number": "517-787-0417",
            "fax_number": "517-787-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDON",
        "first_name": "ORSON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "OC016653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.