Individual provider Active NPI

Megan Laga, DMD

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1265884373
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 22121 Issued in FL
Practice address
2156 Harden Blvd
Lakeland, FL 33803-5917
Phone
(863) 603-7400
NPI assigned
Jul 13, 2016
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22121 FL
General Practice Dentistry 1223G0001X 10561 NC
General Practice Dentistry 1223G0001X DN 22121 FL Primary

Addresses

Primary practice location

2156 Harden Blvd
Lakeland, FL 33803-5917

Mailing address

2156 Harden Blvd
Lakeland, FL 33803-5917
Phone (863) 603-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160829001343 FL Order and Referring Only - DentistPractitioner - Dentist 5193010262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 22121FLMDGeneral Practice Dentistry
10561NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1265884373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035917",
            "telephone_number": "863-603-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035917",
            "telephone_number": "863-603-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGA",
        "first_name": "MEGAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22121",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10561",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.