NPIMap

Organization Active NPI

Jean M. Lafayette, LLC

Doing business as Dr. Jean Lafayette & Dr. Tina Liang

  • General Practice Dentistry
  • Bloomfield, CT
National Provider Identifier
1366990889
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7394 Issued in CT
Legal business name
JEAN M. LAFAYETTE, LLC
Doing business as
Dr. Jean Lafayette & Dr. Tina Liang
Practice address
1 Northwestern Dr
Suite 201
Bloomfield, CT 06002-3400
Phone
(860) 242-0700
Fax
(860) 243-5681
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Mrs. Angelina Blankschen
Title
Office Manager
Phone
(860) 242-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7394 CT Primary

Addresses

Primary practice location

1 Northwestern Dr
Suite 201
Bloomfield, CT 06002-3400

Mailing address

1 Northwestern Dr
Suite 201
Bloomfield, CT 06002-3400
Phone (860) 242-0700

Other identifiers 2

IdentifierTypeStateIssuer
007394OtherCTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
008946OtherCTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH

Other names 1

  • Dr. Jean Lafayette & Dr. Tina Liang Doing business as

National Provider Directory

National Provider Directory

Locations

1 Northwestern Dr
Ste 201
Bloomfield, CT 06002
Phone (860) 242-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1366990889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTHWESTERN DR",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023400",
            "telephone_number": "860-242-0700",
            "fax_number": "860-243-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHWESTERN DR",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023400",
            "telephone_number": "860-242-0700",
            "fax_number": "860-243-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN M. LAFAYETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "BLANKSCHEN",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-242-0700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "007394",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "008946",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jean Lafayette & Dr. Tina Liang",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.