Matthew Lassen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

27098 Issued in TX

Practice address

805 Spring St
Bastrop, TX 78602-3230

Phone

(512) 321-1600

Fax

(512) 321-2355

NPI assigned

Sep 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Romney Lassen Dental

  • Dental Clinic/Center
  • Bastrop, TX
  • NPI 1306117510
  NPD (past) Authorized official

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1013267855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SPRING ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023230",
            "telephone_number": "512-321-1600",
            "fax_number": "512-321-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SPRING ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023230",
            "telephone_number": "512-321-1600",
            "fax_number": "512-321-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSEN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Kay Kuehner, PSY.D
• Robert Ray Labarbera
• Kevin Lacke, DPT, CSCS
• Lakeside Hospital at Bastrop, LTD
• Damian G Lara, MD
• Laurier a. Vocal
• Kyoung Lee
• Sammy Lerma III, M.D.
• Let'S Talk, Bastrop, PLLC
• Mark Anthony Licatino, O.D.

• Dentist in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.