Individual provider Active NPI

Edward Brian Lapa, DDS

  • General Practice Dentistry
  • Cortlandt Manor, NY
National Provider Identifier
1023227964
Registry record updated Jul 8, 2007
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041930 Issued in NY
Practice address
2117 Crompond Rd
Suite 21
Cortlandt Manor, NY 10567-4316
Phone
(914) 739-2626
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041930 NY Primary

Addresses

Primary practice location

2117 Crompond Rd
Suite 21
Cortlandt Manor, NY 10567-4316

Mailing address

2832 Avis CT
Yorktown Heights, NY 10598-3001
Phone (914) 245-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150720003030 NY Order and Referring Only - DentistPractitioner - Dentist 1557674546

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023227964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 AVIS CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983001",
            "telephone_number": "914-245-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CROMPOND RD",
            "address_2": "SUITE 21",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674316",
            "telephone_number": "914-739-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPA",
        "first_name": "EDWARD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.