Michael Lee La Puma, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

B36569 Issued in CA

Practice address

620 California BL
Suite G
San Luis Obispo, CA 93401

Phone

(805) 541-6725

Fax

(805) 541-6872

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Garcia and Dailey Oral Surgery Partnership

  • Oral and Maxillofacial Surgery (Dentist)
  • San Luis Obispo, CA
  • NPI 1356277586
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184735490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BL",
            "address_2": "SUITE G",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-541-6725",
            "fax_number": "805-541-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BL",
            "address_2": "SUITE G",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-541-6725",
            "fax_number": "805-541-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA PUMA",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "B36569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kyler, MD
• Christopher D L'Esperance, MA, LMFT
• Alec Mitchell La Chapelle
• Nadine La Fleur, PSY.D.
• La Laser Center PC, a Professional Medical Corporation
• Dominick Joseph Lacovara, L.C.S.W.
• Lags Spine & Sportscare Medical Centers Inc
• Lags Spine and Sportscare Medical Centers, Inc.
• Lags Spine and Sportscare Medical Centers, Inc.
• Lags Spine and Sportscare Medical Centers, Inc.

• Oral and Maxillofacial Surgery (Dentist) in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.