Active NPI
J Richard Lawrence, DDS
- Dentist
- East Setauket, NY
National Provider Identifier
1376678698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36108
- Practice address
- 232 Belle Mead Rd
Suite 7
East Setauket, NY 11733 - Phone
- (631) 689-2650
- Fax
- (631) 689-2651
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36108 | NY | Primary |
Addresses
Primary practice location
232 Belle Mead Rd
Suite 7
East Setauket, NY 11733
Mailing address
232 Belle Mead Rd
Suite 7
East Setauket, NY 11733
Phone (631) 689-2650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01200146 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36108 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376678698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 BELLE MEAD RD",
"address_2": "SUITE 7",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "11733",
"telephone_number": "631-689-2650",
"fax_number": "631-689-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 BELLE MEAD RD",
"address_2": "SUITE 7",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "11733",
"telephone_number": "631-689-2650",
"fax_number": "631-689-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "J RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "36108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01200146",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.