Active NPI
Catholic Charities of Ingham, Eaton and Clinton Counties
- Dentist
- Lansing, MI
National Provider Identifier
1992673024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES
- Practice address
- 2800 W Willow St
Lansing, MI 48917-1833 - Phone
- (517) 913-0015
- Fax
- (517) 913-0014
- NPI assigned
- Oct 29, 2025
- Organization subpart
- Yes
- Parent organization
- CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenifer Ackley
- Title
- Health Operations Manager
- Phone
- (517) 371-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2800 W Willow St
Lansing, MI 48917-1833
Mailing address
2800 W Willow St
Lansing, MI 48917-1833
Phone (517) 913-0015
National Provider Directory
National Provider Directory- Tax ID family
- Cristo Rey Comm Ctr MNT
- Part of
- Cristo Rey Comm Ctr MNT
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Lansing, MI
- NPI 1033090170
-
- General Practice Physician
- Lansing, MI
- NPI 1407800931
Locations
2800 W Willow St
Lansing, MI 48917
Phone (517) 323-4734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1992673024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W WILLOW ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489171833",
"telephone_number": "517-913-0015",
"fax_number": "517-913-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W WILLOW ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489171833",
"telephone_number": "517-913-0015",
"fax_number": "517-913-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES",
"enumeration_date": "2025-10-29",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "ACKLEY",
"authorized_official_first_name": "JENIFER",
"authorized_official_title_or_position": "HEALTH OPERATIONS MANAGER",
"authorized_official_telephone_number": "517-371-1700"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.