Active NPI
Carol Ann Lorente, DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- Bedford, MA
National Provider Identifier
1003898008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 14505
- Practice address
- Bedford VA Hospital
Dental Dept., Mailstop 160, 200 Springs Rd.
Bedford, MA 01730 - Phone
- (781) 687-2469
- Fax
- (781) 687-3967
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 14505 | MA | Primary |
Addresses
Primary practice location
Bedford VA Hospital
Dental Dept., Mailstop 160, 200 Springs Rd.
Bedford, MA 01730
Mailing address
Bedford VA Hospital
Dental Dept., Mailstop 160, 200 Springs Rd.
Bedford, MA 01730
Phone (781) 687-2469
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X04567 | Other | BCBS | |
| 794892 | Other | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130205000429 | MA | Order and Referring Only - Oral Surgery | 8729063144 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1003898008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BEDFORD VA HOSPITAL",
"address_2": "DENTAL DEPT., MAILSTOP 160, 200 SPRINGS RD.",
"city": "BEDFORD",
"state": "MA",
"postal_code": "01730",
"telephone_number": "781-687-2469",
"fax_number": "781-687-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEDFORD VA HOSPITAL",
"address_2": "DENTAL DEPT., MAILSTOP 160, 200 SPRINGS RD.",
"city": "BEDFORD",
"state": "MA",
"postal_code": "01730",
"telephone_number": "781-687-2469",
"fax_number": "781-687-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENTE",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2022-06-09",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MA",
"license": "14505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "X04567",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "794892",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.