Individual provider Active NPI

Lawrence J Giangreco Jr., D.D.S.

  • General Practice Dentistry
  • Webster, NY
National Provider Identifier
1346254398
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041732 Issued in NY
Practice address
1285 Creek St
Webster, NY 14580-2213
Phone
(585) 671-2930
Fax
(585) 671-7603
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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 041732 NY Primary

Addresses

Primary practice location

1285 Creek St
Webster, NY 14580-2213

Mailing address

1285 Creek St
Webster, NY 14580-2213
Phone (585) 671-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151230001279 NY Order and Referring Only - DentistPractitioner - Dentist 3870895311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041732NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence J Giangreco D.D.S. and Lawrence J. Giangreco Jr. D.D.S. PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1346254398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 CREEK ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802213",
            "telephone_number": "585-671-2930",
            "fax_number": "585-671-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 CREEK ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802213",
            "telephone_number": "585-671-2930",
            "fax_number": "585-671-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGRECO",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.