Edward T Lahey III, MD, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

230038 Issued in MA

Practice address

1 Kneeland St FL 5
Boston, MA 02111-1529

Phone

(617) 636-6515

Fax

(617) 636-6809

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

Harvard Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trustees of Tufts CollegeGroup PAC ID 3779522628, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medical Center Hospital, Boston, MA, CCN 220116

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elahey98912@tuftsmedicine.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trustees of Tufts College

  dba Tufts University School of Dental Medicine

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1356559371
  Medicare reassignment Care Compare group NPD
• Burlington Oral and Facial Surgery Center LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Burlington, MA
  • NPI 1003251398
  Medicare reassignment NPD
• Trustees of Tufts College

  dba Tufts Oral Medicine Clinic

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1457636029
  NPD
• Trustees of Tufts College

  dba Tufts Craniofacial Pain Center

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1790955318
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1265447965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111529",
            "telephone_number": "617-636-6515",
            "fax_number": "617-636-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111529",
            "telephone_number": "617-636-6515",
            "fax_number": "617-636-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHEY",
        "first_name": "EDWARD",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN21157",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "230038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "X09477",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew P Lahaie, MD, JD
• Josephine Laham, RPH
• Roger J Laham, M.D.
• Colleen Marie Lahar, MS, CCC-SLP
• Yonatan Lahav, M.D.
• Hannah Lahey, MD
• Conor John Lahiff, MB
• Zubin Lahijanian, M.D
• Anushna Lahiri
• Karen Charlene Lahive, MD

• Oral & Maxillofacial Surgery (D.M.D.) in Boston, MA
• Providers in Boston, MA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.