Organization Active NPI

Eric J. Lavid, DDS, LLC

  • Dentist
  • Raymore, MO
National Provider Identifier
1134477250
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016088 Issued in MO
Legal business name
ERIC J. LAVID, DDS, LLC
Practice address
613 W Conway St Ste 101
Raymore, MO 64083-7301
Phone
(816) 331-1144
Fax
(816) 322-2271
NPI assigned
Aug 21, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Joy Lavid, DDS
Title
Dentist
Phone
(816) 331-1144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 016088 MO Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 016137 MO

Addresses

Primary practice location

613 W Conway St Ste 101
Raymore, MO 64083-7301

Mailing address

613 W Conway St Ste 101
Raymore, MO 64083-7301
Phone (816) 331-1144

National Provider Directory

National Provider Directory

Locations

613 W Conway St
Ste 101
Raymore, MO 64083
Phone (816) 331-1144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1134477250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 W CONWAY ST STE 101",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640837301",
            "telephone_number": "816-331-1144",
            "fax_number": "816-322-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W CONWAY ST STE 101",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640837301",
            "telephone_number": "816-331-1144",
            "fax_number": "816-322-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. LAVID, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "LAVID",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-331-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "016088",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "016137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.