Active NPI
Michelle Bento Lavall, D.M.D
- Endodontics
- Fall River, MA
National Provider Identifier
1144258047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 19261
- Practice address
- 164 Walnut St
Fall River, MA 02720-2418 - Phone
- (508) 679-2906
- Fax
- (508) 679-2908
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 19261 | MA | Primary |
Addresses
Primary practice location
164 Walnut St
Fall River, MA 02720-2418
Mailing address
164 Walnut St
Fall River, MA 02720-2418
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 |
|---|---|---|---|
| 19261 | MA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Bento Lavall, DMD | Endodontics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Fall River, MA
- NPI 1316111974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144258047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 WALNUT ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 WALNUT ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202418",
"telephone_number": "508-679-2906",
"fax_number": "508-679-2908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALL",
"first_name": "MICHELLE",
"middle_name": "BENTO",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "19261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.