JOHN S FABER, DDS — NPI 1487757563 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in LANSING, MI)

CMS-1500 Box 24J / 33a • NPI

1487757563

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1223S0112X (CMS 19)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

5238 W ST JOE HWY, SUITE 2, LANSING, MI, 48917-4085

✓ 9-Digit EDI 837 ZIP+4 (48917-4085)

Practice Phone & Referral Fax

(517) 323-1000

Fax: (517) 886-5566

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487757563 (JOHN S FABER, DDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487757563` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOHN S FABER, DDS
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223S0112X` (Dentist, Oral and Maxillofacial Surgery)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	5238 W ST JOE HWY, SUITE 2, LANSING, MI, 48917-4085
Practice Telephone / Fax	Tel: (517) 323-1000 \| Fax: (517) 886-5566
Administrative Mailing Address	5526 WHITE ASH, HASLETT, MI, 48840-9799
Enumeration & Last Sync	Enumerated: 2006-09-06 \| CMS Record Updated: 2019-02-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5238 W ST JOE HWY, SUITE 2, LANSING, MI, 48917-4085

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Plain-English Taxonomy & CMS Crosswalk (1223S0112X)

What Does Taxonomy Code 1223S0112X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223S0112X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 19 (Oral Surgery (Dentist only))
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN S FABER, DDS)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`204E00000X` — Oral & Maxillofacial Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery	State: MI \| License: `2901016480` \| Primary: Secondary
`1223S0112X` — Dentist, Oral and Maxillofacial Surgery Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: MI \| License: `2901016480` \| Primary: Yes (Primary)

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JOHN S FABER, DDS (NPI #1487757563)