Individual provider Active NPI

Mark E Beckman, D.D.S.,M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • East Lansing, MI
National Provider Identifier
1932198835
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901015849 Issued in MI
Practice address
325 W Lake Lansing Rd
East Lansing, MI 48823-8524
Phone
(517) 337-9759
Fax
(517) 337-8156
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 2901015849 MI Primary

Addresses

Primary practice location

325 W Lake Lansing Rd
East Lansing, MI 48823-8524

Mailing address

325 W Lake Lansing Rd
East Lansing, MI 48823-8524
Phone (517) 337-9759

Other identifiers 1

IdentifierTypeStateIssuer
3173060MedicaidMI

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
I20120504000036 MI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 8527039197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Ohio State University College of Dentistry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Oral Surgery PCGroup PAC ID 3274504881, 2 clinicians

Practice addresses (Care Compare)

325 W Lake Lansing Rd
East Lansing, MI 48823-8524
Phone (517) 337-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Oral Surgery Oral and Maxillofacial Surgery CurrentSince Oct 1, 1993 Accepting new patients
Mid Michigan Oral Surgery PC Oral and Maxillofacial Surgery CurrentSince Oct 1, 1993 Accepting new patients

Locations

110 N Cochran Ave
Charlotte, MI 48813
Phone (517) 337-9759

325 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 337-9759

1040 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 337-9759

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1932198835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238524",
            "telephone_number": "517-337-9759",
            "fax_number": "517-337-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238524",
            "telephone_number": "517-337-9759",
            "fax_number": "517-337-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901015849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3173060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.