Active NPI
Carl E Lavorata, D.D.S.
- General Practice Dentistry
- Smithtown, NY
National Provider Identifier
1194722355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 040960
- Practice address
- 1036 W Jericho Tpke
Smithtown, NY 11787-3208 - Phone
- (631) 543-4433
- Fax
- (631) 543-2540
- NPI assigned
- Jul 3, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 040960 | NY | Primary |
Addresses
Primary practice location
1036 W Jericho Tpke
Smithtown, NY 11787-3208
Mailing address
4 Pine St
Commack, NY 11725-4811
Phone (631) 864-3814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629002569 | NY | Order and Referring Only - Oral Surgery | 6507178803 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194722355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PINE ST",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254811",
"telephone_number": "631-864-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873208",
"telephone_number": "631-543-4433",
"fax_number": "631-543-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVORATA",
"first_name": "CARL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "040960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.