Active NPI
Lawrence John Ross, D.D.S.
- General Practice Dentistry
- Williamstown, MA
National Provider Identifier
1235245648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12793
- Practice address
- 190 Main St
Williamstown, MA 01267-2604 - Phone
- (413) 458-8368
- Fax
- (413) 458-0932
- NPI assigned
- Aug 21, 2006
- 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 | 12793 | MA | Primary |
Addresses
Primary practice location
190 Main St
Williamstown, MA 01267-2604
Mailing address
190 Main St
Williamstown, MA 01267-2604
Phone (413) 458-8368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X10842 | Other | MA | BLUECROSSBLUESHIELD ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12793 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence J. Ross, DDS & Mark a. Pullano, DMD, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Williamstown, MA
- NPI 1790891190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235245648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 MAIN ST",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672604",
"telephone_number": "413-458-8368",
"fax_number": "413-458-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 MAIN ST",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672604",
"telephone_number": "413-458-8368",
"fax_number": "413-458-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LAWRENCE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "12793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD ID #",
"identifier": "X10842",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamstown, MA
Sources for this page
- 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.