Individual provider Active NPI

Kenneth Dominic Lapolla, D.D.S.

  • General Practice Dentistry
  • Warren, OH
National Provider Identifier
1295731859
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3019432 Issued in OH
Practice address
8588 E Market St
Warren, OH 44484-2339
Phone
(330) 609-6565
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3019432 OH Primary

Addresses

Primary practice location

8588 E Market St
Warren, OH 44484-2339

Mailing address

8588 E Market St
Warren, OH 44484-2339
Phone (330) 609-6565

Other identifiers 1

IdentifierTypeStateIssuer
0995697MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150421000884 OH Order and Referring Only - DentistPractitioner - Dentist 4385960293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3019432OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295731859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8588 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842339",
            "telephone_number": "330-609-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8588 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842339",
            "telephone_number": "330-609-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPOLLA",
        "first_name": "KENNETH",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "3019432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0995697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.