Susan Difabio Lamar, DMD MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN13785 Issued in FL

Practice address

1531 Tamiami Trail S
Suite 701
Venice, FL 34285-5575

Phone

(941) 497-5591

Fax

(941) 408-9351

NPI assigned

Mar 9, 2007

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285766915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 TAMIAMI TRAIL S",
            "address_2": "SUITE 701",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855575",
            "telephone_number": "941-497-5591",
            "fax_number": "941-408-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 TAMIAMI TRAIL S",
            "address_2": "SUITE 701",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855575",
            "telephone_number": "941-497-5591",
            "fax_number": "941-408-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "SUSAN",
        "middle_name": "DIFABIO",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN13785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLA DEPT OF REVENUE",
            "identifier": "22035524",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Rose Lacivita, APRN
• Donald Wayne Lackey, DDS
• Amy Louise Ladehoff, PT
• Anne E Laginess, RPH
• Jami Lally
• Samuel L. Landa, D.D.S.
• Bryanna Lane
• David Langfelder, AP
• Mary Laurie
• Lavin Family Dental

• Periodontics in Venice, FL
• Providers in Venice, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.