Active NPI
Lia Mittelman, D.M.D
- Dentist
- Lawrence, MA
National Provider Identifier
1285037515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1856748
- Practice address
- 488 Essex St
Lawrence, MA 01840-1242 - Phone
- (603) 886-0000
- NPI assigned
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 04232 | NH | |
| Dentist | 122300000X | DEN4427 | ME | |
| Dentist | 122300000X | DN1856748 | MA | Primary |
Addresses
Primary practice location
488 Essex St
Lawrence, MA 01840-1242
Mailing address
488 Essex St
Lawrence, MA 01840-1242
Phone (978) 975-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150807013724 | ME | Order and Referring Only - Dentist | 4587978382 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856748 | MA | MD | Dentist |
| 04232 | NH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose L Rivera-Zayas DMD PLLC | Past | Accepting new patients | |
| DB Practice Management, Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Lawrence, MA
- NPI 1831416767
-
- Prosthodontics
- Boston, MA
- NPI 1679081244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285037515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 ESSEX ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401242",
"telephone_number": "978-975-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 ESSEX ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401242",
"telephone_number": "603-886-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTELMAN",
"first_name": "LIA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "04232",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4427",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.