Organization Active NPI

Truform Surgery, PLLC

Doing business as TruForm Surgery Lansing

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansing, MI
National Provider Identifier
1912881632
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TRUFORM SURGERY, PLLC
Doing business as
TruForm Surgery Lansing
Practice address
4124 W St Joe Hwy
Lansing, MI 48917-5205
Phone
(517) 321-3236
NPI assigned
Aug 5, 2025
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Dr. Brittany Ky Eidson, DDS, FACSNPI 1619317039
Title
Owner
Phone
(517) 321-3236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4124 W St Joe Hwy
Lansing, MI 48917-5205

Mailing address

1390 Shady Crest Dr
Hartland, MI 48353-3321
Phone (330) 338-3960

Other names 1

  • TruForm Surgery Lansing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Truform Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1912881632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 SHADY CREST DR",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483533321",
            "telephone_number": "330-338-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175205",
            "telephone_number": "517-321-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUFORM SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "EIDSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "KY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-321-3236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FACS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruForm Surgery Lansing",
            "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 Aug 5, 2025; 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.