Lajuan M Mountain, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036195 Issued in PA

Practice address

415 E Boundary Ave
Suite 101
York, PA 17403-2811

Phone

(717) 846-5174

Fax

(717) 845-4884

NPI assigned

Jun 2, 2006

Sex

Female

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 6

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Health Corporation

  • Federally Qualified Health Center (FQHC)
  • York, PA
  • NPI 1881639904
  Medicare reassignment NPD
• Family First Health Corporation

  • Community/Retail Pharmacy
  • York, PA
  • NPI 1699573758
  NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1235177247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "address_2": "SUITE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011408",
            "telephone_number": "717-846-8546",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E BOUNDARY AVE",
            "address_2": "SUITE 101",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032811",
            "telephone_number": "717-846-5174",
            "fax_number": "717-845-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTAIN",
        "first_name": "LAJUAN",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT PROVIDERS",
            "identifier": "248134",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101296402",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1734162",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "DS036195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "169245",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "9179591",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Frederick Motter, DO
• Leo Justin Motter, MD
• Ajaya Triveni Moturu, M.D.
• Mount Rose Dental PLLC
• Joseph A Mountain Jr., DMD
• Cassandra Mountz
• Rachel Lea Mowry, CRNP
• Alyssa Larin Moyer, MD
• Amanda Moyer, FNP-BC
• Carrie S Moyer, PA

• General Practice Dentistry in York, PA
• Providers in York, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.