Individual provider Active NPI

Richard Dana Lajoie, D.D.S.

  • General Practice Dentistry
  • Fall River, MA
National Provider Identifier
1093859456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12968 Issued in MA
Practice address
450 High St
Fall River, MA 02720-3345
Phone
(508) 672-0924
Fax
(508) 672-0924
NPI assigned
Feb 19, 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 12968 MA Primary

Addresses

Primary practice location

450 High St
Fall River, MA 02720-3345

Mailing address

450 High St
Fall River, MA 02720-3345
Phone (508) 672-0924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20160601002351 VT Order and Referring Only - DentistPractitioner - Dentist 3274823364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12968MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford Dental PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093859456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HIGH ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203345",
            "telephone_number": "508-672-0924",
            "fax_number": "508-672-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HIGH ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203345",
            "telephone_number": "508-672-0924",
            "fax_number": "508-672-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJOIE",
        "first_name": "RICHARD",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.