BLUE CARE NETWORK OF MICHIGAN (NPI# 1831382407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831382407 |
| Entity Type | Organization |
| Organization Name | BLUE CARE NETWORK OF MICHIGAN |
| Practice Address |
1401 S Creyts Rd Lansing MI 48917-8507 |
| Practice Telephone | 5173228049 |
| Practice Fax Number | 5173224486 |
| Mailing Telephone | 5173228049 |
| Mailing Fax Number | 5173224486 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | KATHY DOLL A DOLL (RECP.) |
| Authorized Official Telephone | 5173228061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 18503 | MI | Dental Providers |
| N | 122300000X | Dentist | 18854 | MI | Dental Providers |
| Y | 122300000X | Dentist | 18754 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | D800318 | 01 |
| Street Address |
1401 S CREYTS RD |
| City | LANSING |
| State | MI |
| Zip Code | 48917-8507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881614949 | Otto Dennis Sohn | Pharmacist | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2006-07-20 |
| 1659558500 | Julianne Beth Randall | Specialist | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2008-01-23 |
| 1609098300 | Tara J Bergren | Dietitian, Registered | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2007-05-03 |
| 1053435453 | Wayne James Joseph | Dentist | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2007-03-19 |
| 1093842510 | Blue Care Network of Mi | Family Medicine | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2007-02-28 |
| 1770637688 | Supraja Mundla | Dentist | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2007-01-22 |
| 1952323214 | Michelle Sturgeon | Pharmacist | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2006-07-24 |
| 1689694549 | Mark E. Schlott | Pharmacist | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2006-07-20 |
| 1194745232 | Kerry Jon Mckenney | Pharmacist | 1401 S Creyts Rd, Lansing, MI 48917-8507 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992282933 | Angelica Lagunas | Dentist | 17653 Torrence Ave, Lansing, IL 60438-4839 | 2018-07-23 |
| 1013437573 | Sahar Fathi | Dentist | 6111 S Cedar St, Lansing, MI 48911-5714 | 2017-06-26 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1942684899 | Richard M. Dawdy, Dds Pllc | Dentist | 1100 E Miller Rd, Lansing, MI 48911-5311 | 2015-07-09 |
| 1265866206 | Patrick J Honsa Dds | Dentist | 3330 181st Pl, Suite 201, Lansing, IL 60438-2300 | 2013-08-27 |
| 1629379680 | United Dental Centers | Dentist | 18511 Torrence Ave, Suite 2b, Lansing, IL 60438-2851 | 2010-11-08 |
| 1295963197 | Miriam Al-hashimi | Dentist | 5601 S Cedar St, Lansing, MI 48911-3810 | 2009-06-30 |
| 1508091075 | Carl M Pogoncheff | Dentist | 2628 Lake Lansing Rd Ste 101, Lansing, MI 48912-3668 | 2009-05-27 |
| 1679707970 | Oded Gargir | Dentist | 3442 Ridge Rd, Lansing, IL 60438-3102 | 2009-05-14 |
| 1043452550 | Affordable Dentures - Lansing II, P.C. | Dentist | 5451 W Saginaw Hwy Ste H, Lansing, MI 48917-1982 | 2009-03-30 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.