Active NPI
Farrel F Levasseur PC
- Oral and Maxillofacial Surgery (Dentist)
- Bay City, MI
National Provider Identifier
1952438780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- FL007097
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9750961480 | Other | MI | BCN - MICHIGAN |
| 9702911950 | Other | MI | BCBS GROUP |
| 9750961480 | Other | MI | BCBSM |
National Provider Directory
National Provider DirectoryLocations
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.