Robert Lavine, D.D,S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

2791 E 14 Mile Rd
Suite 102
Sterling Heights, MI 48310-5963

Phone

(586) 979-0111

Fax

(586) 979-2412

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225189970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 E 14 MILE RD",
            "address_2": "SUITE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105963",
            "telephone_number": "586-979-0111",
            "fax_number": "586-979-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 E 14 MILE RD",
            "address_2": "SUITE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105963",
            "telephone_number": "586-979-0111",
            "fax_number": "586-979-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "ROBERT",
        "credential": "D.D,S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "D0859405",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brynna Laturno-Gates
• Kaylen Lau
• Robert A Laughland, DDS
• Marta Lauria, N.P.
• Drew Debra Lauterbach
• Rebecca Law
• Laura Lawniczak
• Alicia Lawrence
• Oleh Roman Lawrin, DPM
• Elizabeth Lazar, LMSW

• Dentist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Dentist in Michigan

• 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.

Verify at the official NPI Registry.