Active NPI
William Alberto Lanza, DDS
- Dentist
- Riverdale Park, MD
National Provider Identifier
1083896450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14205
- Practice address
- 6200 Baltimore Avenue
Suite 200
Riverdale Park, MD 20737-1054 - Phone
- (301) 864-5200
- Fax
- (301) 864-5759
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14205 | MD | Primary |
Addresses
Primary practice location
6200 Baltimore Avenue
Suite 200
Riverdale Park, MD 20737-1054
Mailing address
6200 Baltimore Avenue
Suite 200
Riverdale Park, MD 20737-1054
Phone (301) 864-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14205 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McClure, Blumenfeld, Digregorio, Sease, P.a., T/a the Dental Group | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba The Dental Group
- Dentist
- Riverdale, MD
- NPI 1578644472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1083896450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 BALTIMORE AVENUE",
"address_2": "SUITE 200",
"city": "RIVERDALE PARK",
"state": "MD",
"postal_code": "207371054",
"telephone_number": "301-864-5200",
"fax_number": "301-864-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 BALTIMORE AVENUE",
"address_2": "SUITE 200",
"city": "RIVERDALE PARK",
"state": "MD",
"postal_code": "207371054",
"telephone_number": "301-864-5200",
"fax_number": "301-864-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZA",
"first_name": "WILLIAM",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale Park, MD
- Heritage Healthcare Services LLC
- Hot Yoga Riverdale (BikramYogaWorks)
- Monique Julien, DC
- Jenny Youn Kang, DDS
- Mutiat Komolafe Olanipekun
- Isabel Martin, CCC-SLP
- Miluska Masaschi-Sanchez, DDS
- Metro Mental Healthcare, LLC
- Pediatric Dentistry of Maryland, LLC (Riverdale Park Pediatric Dentistry)
- Physical Therapy and Pain Management Center LLC (College Park Physical Therapy & Hand Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.