Matthew Joseph Lake, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

203208 Issued in CO

Practice address

390 S Wilcox St Ste a
Castle Rock, CO 80104-1951

Phone

(303) 660-6000

Fax

(303) 660-9745

NPI assigned

Jun 18, 2017

Last updated

Jun 18, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perfect Teeth - Ken Caryl P.C.

  • General Practice Dentistry
  • Littleton, CO
  • NPI 1730200296
  NPD (past)
• Perfect Teeth - South 8TH Street P.C.

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1811018211
  NPD (past)
• Perfect Teeth - Speer P.C.

  • General Practice Dentistry
  • Denver, CO
  • NPI 1386765774
  NPD (past)
• Perfect Teeth - Union & Academy P.C.

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1528189925
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1063942456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 1400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103937",
            "telephone_number": "303-285-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S WILCOX ST STE A",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041951",
            "telephone_number": "303-660-6000",
            "fax_number": "303-660-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "203208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Anna Laessig, NP
• Edward T Lafferty III, DC
• Haley Lafferty, LCSW
• Claire Mary-Carol Lafrance
• Ryan Lahood, MD
• Jennifer Lallier, NCMT
• Noelle Lamoreaux
• Amber Marie Lancaster, P.T,, M.P.T., P.C.S
• Megan Land
• Morgan Alexander Lane, DMD

• General Practice Dentistry in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.