Active NPI
Benjamin James Lago, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Kalamazoo, MI
National Provider Identifier
1992963706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901019673
- Practice address
- 1900 Whites Rd Ste 3
Kalamazoo, MI 49008-2872 - Phone
- (269) 382-0482
- Fax
- (269) 382-2906
- NPI assigned
- May 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9129 | SC | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901019673 | MI | Primary |
Addresses
Primary practice location
1900 Whites Rd Ste 3
Kalamazoo, MI 49008-2872
Mailing address
1900 Whites Rd Ste 3
Kalamazoo, MI 49008-2872
Phone (269) 382-0482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9129 | SC | MD | Mental Health Counselor |
| 2901019673 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Hyland DDS PCS PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Killian Dentistry, PC | General Practice | Past | Accepting new patients |
Locations
1900 Whites Rd
Ste 3
Kalamazoo, MI 49008
Phone (269) 382-0482
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Kalamazoo, MI
- NPI 1275721532
-
- General Practice Dentistry
- Columbia, SC
- NPI 1275051054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1992963706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WHITES RD STE 3",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082872",
"telephone_number": "269-382-0482",
"fax_number": "269-382-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WHITES RD STE 3",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082872",
"telephone_number": "269-382-0482",
"fax_number": "269-382-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGO",
"first_name": "BENJAMIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "SC",
"license": "9129",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "2901019673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.