Individual provider Active NPI

Lisa A Denaples, D.M.D.

  • General Practice Dentistry
  • Scranton, PA
National Provider Identifier
1164588919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS02982L Issued in PA
Practice address
1027 Moosic St
Scranton, PA 18505-2103
Phone
(570) 341-9570
Fax
(570) 341-5318
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

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 DS02982L PA Primary

Addresses

Primary practice location

1027 Moosic St
Scranton, PA 18505-2103

Mailing address

1027 Moosic St
Scranton, PA 18505-2103
Phone (570) 341-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151204001972 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931296993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS02982LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164588919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052103",
            "telephone_number": "570-341-9570",
            "fax_number": "570-341-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052103",
            "telephone_number": "570-341-9570",
            "fax_number": "570-341-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENAPLES",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS02982L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.