Organization Active NPI

Farrel F Levasseur PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bay City, MI
National Provider Identifier
1952438780
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
FL007097 Issued in MI
Legal business name
FARREL F LEVASSEUR PC
Practice address
916 Washington Ave
Suite 204
Bay City, MI 48708-5730
Phone
(989) 893-3579
NPI assigned
Feb 28, 2007
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Farrel Francis Levasseur
Title
President
Phone
(989) 893-3579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X FL007097 MI Primary

Addresses

Primary practice location

916 Washington Ave
Suite 204
Bay City, MI 48708-5730

Mailing address

916 Washington Ave
Suite 204
Bay City, MI 48708-5730
Phone (989) 893-3579

Other identifiers 3

IdentifierTypeStateIssuer
9750961480OtherMIBCN - MICHIGAN
9702911950OtherMIBCBS GROUP
9750961480OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

916 Washington Ave
Ste 204
Bay City, MI 48708
Phone (989) 778-2200

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1952438780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WASHINGTON AVE",
            "address_2": "SUITE 204",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085730",
            "telephone_number": "989-893-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WASHINGTON AVE",
            "address_2": "SUITE 204",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085730",
            "telephone_number": "989-893-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARREL F LEVASSEUR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "LEVASSEUR",
        "authorized_official_first_name": "FARREL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-893-3579",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "FL007097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN - MICHIGAN",
            "identifier": "9750961480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "9702911950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "9750961480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.