Roland H Lupien, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6894 Issued in MD

Practice address

100 Averill Rd
Suite 3
Pomfret Center, CT 06259-1800

Phone

(860) 928-5090

Fax

(860) 928-3950

NPI assigned

Nov 8, 2005

Last updated

Mar 5, 2013By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1316928278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVERILL RD UNIT 3",
            "city": "POMFRET CENTER",
            "state": "CT",
            "postal_code": "062591801",
            "telephone_number": "860-928-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVERILL RD",
            "address_2": "SUITE 3",
            "city": "POMFRET CENTER",
            "state": "CT",
            "postal_code": "062591800",
            "telephone_number": "860-928-5090",
            "fax_number": "860-928-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPIEN",
        "first_name": "ROLAND",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068948",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pomfret Center, CT
• Providers in Pomfret Center, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.