Active NPI
Jacqueline Serene Lapin, D.M.D.
- Dentist
- Spring Lake, NC
National Provider Identifier
1144475658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9603
- Practice address
- 103 Superior Drive
Spring Lake Dental,
Spring Lake, NC 28390-0000 - Phone
- (910) 497-3200
- Fax
- (910) 497-0474
- NPI assigned
- Nov 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9603 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 30-022738 | OH |
Addresses
Primary practice location
103 Superior Drive
Spring Lake Dental,
Spring Lake, NC 28390-0000
Mailing address
103 Superior Drive
Springlake Dental Group
Spring Lake, NC 28390-9796
Phone (910) 497-3200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9603 | NC | MD | Dentist |
| 30-022738 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr David G Dickerhoff DDS & Associates PA | 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.
-
- Dental Clinic/Center
- Spring Lake, NC
- NPI 1003992223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1144475658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SUPERIOR DRIVE",
"address_2": "SPRINGLAKE DENTAL GROUP",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283909796",
"telephone_number": "910-497-3200",
"fax_number": "910-497-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SUPERIOR DRIVE",
"address_2": "SPRING LAKE DENTAL,",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283900000",
"telephone_number": "910-497-3200",
"fax_number": "910-497-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPIN",
"first_name": "JACQUELINE",
"middle_name": "SERENE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9603",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-022738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.