Individual provider Active NPI

Benjamin James Lago, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Kalamazoo, MI
National Provider Identifier
1992963706
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901019673 Issued in MI
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

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9129SCMDMental Health Counselor
2901019673MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Hyland DDS PCS PC Oral and Maxillofacial Surgery CurrentSince Apr 20, 2025 Accepting new patients
Killian Dentistry, PC General Practice PastSince Aug 1, 2021 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.

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.

Verify at the official NPI Registry.