Active NPI
James Vernon Draper, DDS
- Dentist
- Lakeview, MI
National Provider Identifier
1871643809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9226
- Practice address
- 924 S Lincoln Ave
Lakeview, MI 48850 - Phone
- (989) 352-7294
- Fax
- (989) 352-8348
- NPI assigned
- Jan 11, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9226 | MI | Primary |
Addresses
Primary practice location
924 S Lincoln Ave
Lakeview, MI 48850
Mailing address
10985 N Lakeview Rd
Lakeview, MI 48852
Phone (989) 352-7463
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5597120 | Other | BCBS DENTAL SURGERY | |
| 4006325 | Medicaid | MI | |
| D092260 | Other | MI | BCBS DENTAL |
| 598183 | Other | UNITED CONCORDIA PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9226 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Dental Associates | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Lakeview, MI
- NPI 1407006281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871643809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10985 N LAKEVIEW RD",
"city": "LAKEVIEW",
"state": "MI",
"postal_code": "48852",
"telephone_number": "989-352-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 S LINCOLN AVE",
"city": "LAKEVIEW",
"state": "MI",
"postal_code": "48850",
"telephone_number": "989-352-7294",
"fax_number": "989-352-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAPER",
"first_name": "JAMES",
"middle_name": "VERNON",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "9226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DENTAL SURGERY",
"identifier": "5597120",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4006325",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DENTAL",
"identifier": "D092260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "598183",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeview, MI
- Sada Mae Brown, NP
- Countryside Drug Company II (Countryside Pharmacy)
- Carina Curtis, MD
- Mark Anthony N Del Castillo, MD
- Denise Joy Docter, MSW
- Steven Arne Fahlen, DO
- Daniel Green, D.D.S.
- H. Keith Treiber DDS Family Dentistry PC
- H. Keith Treiber, DDS Family Dentistry P. C. (Tamarack Family Dentistry)
- Brooke Hansen, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.