Jean M Lafayette, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7394 Issued in CT

Practice address

One Northwestern Drive
Suite #201
Bloomfield, CT 06002

Phone

(860) 242-0700

Fax

(860) 243-5681

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jean M. Lafayette, LLC

  • General Practice Dentistry
  • Bloomfield, CT
  • NPI 1366990889
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003937301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 WATERVILLE ROAD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-983-6725",
            "fax_number": "860-243-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE NORTHWESTERN DRIVE",
            "address_2": "SUITE #201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "06002",
            "telephone_number": "860-242-0700",
            "fax_number": "860-243-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAYETTE",
        "first_name": "JEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "020007394CT04",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Godiksen Physical Therapy and Wellness
• Michael P Kruger, MD
• Michele Krynski, PHD
• Ranjani Kurukulasuriya, MD
• Angela Labella, PT
• Alan Harris Lake, LCSW
• Erica Hope Lambert, M.D.
• Jill Noel Lambert, LCSW
• Arthur Bernard Landry Jr., M.D.
• Brian Garrett Lane, LCSW

• Dentist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.