Mid Michigan Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MID MICHIGAN ORAL SURGERY

Practice address

1040 Charlevoix Dr
Grand Ledge, MI 48837-2417

Phone

(517) 627-4088

Fax

(517) 627-3908

NPI assigned

May 23, 2008

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Beckman, DDS, MS

Title

Oral Surgeon / Owner

Phone

(517) 627-4088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mid Michigan Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, MI
  • NPI 1861650095

  O20040805000351

  Same enrollment
• Mid Michigan Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • East Lansing, MI
  • NPI 1174516413

  O20040805000351

  Same enrollment

Tax ID family

Mid Michigan Oral Surgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mid Michigan Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, MI
  • NPI 1861650095
  NPD tax ID
• Mid Michigan Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • East Lansing, MI
  • NPI 1174516413
  NPD tax ID

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1942468186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CHARLEVOIX DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372417",
            "telephone_number": "517-627-4088",
            "fax_number": "517-627-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CHARLEVOIX DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372417",
            "telephone_number": "517-627-4088",
            "fax_number": "517-627-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ORAL SURGEON / OWNER",
        "authorized_official_telephone_number": "517-627-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Elaine McGuire, L.M.S.W.
• Sydney McLaughlin, DPT
• Paige McNalley, DPT
• Megan C Meibeyer, LPC
• Meijer Inc (Meijer Pharmacy #210)
• Mid-Michigan Family Medical Center, P.C.
• Jeffrey Scott Miller, RPH
• Kristin Miller, COTA
• Amy E Mills, LPC
• Carol Ann Mills, PTA

• Oral and Maxillofacial Surgery (Dentist) in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.