Organization Active NPI

James a. Bedor, DDS, PC

  • General Practice Dentistry
  • White Lake, MI
National Provider Identifier
1922272731
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAMES A. BEDOR, DDS, PC
Practice address
95 N Williams Lake Rd
White Lake, MI 48386-2557
Phone
(248) 698-8330
Fax
(248) 698-8333
NPI assigned
Apr 14, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mrs. Carol L McIntyre
Title
Practice Manager
Phone
(248) 698-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

95 N Williams Lake Rd
White Lake, MI 48386-2557

Mailing address

95 N Williams Lake Rd
White Lake, MI 48386-2557
Phone (248) 698-8330

Other identifiers 2

IdentifierTypeStateIssuer
J801327OtherMIBCBS
1722904MedicaidMI

National Provider Directory

National Provider Directory

Locations

95 N Williams Lake Rd
White Lake, MI 48386
Phone (248) 698-8330

Practitioners & affiliated clinicians

Practitioners 2

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": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1922272731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N WILLIAMS LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862557",
            "telephone_number": "248-698-8330",
            "fax_number": "248-698-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N WILLIAMS LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862557",
            "telephone_number": "248-698-8330",
            "fax_number": "248-698-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. BEDOR, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-698-8330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J801327",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722904",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.