NPIMap

Individual provider Active NPI

Nicholas A Lavoie, D.D.S., M.P.H., M.A.

  • Pediatric Dentistry
  • Swansea, MA
National Provider Identifier
1396188645
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1856759 Issued in MA
Practice address
2200 Gar Hwy Ste 2a
Swansea, MA 02777-3935
Phone
(508) 233-3341
Fax
(508) 286-8600
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN03244 RI
Pediatric Dentistry 1223P0221X DN1856759 MA Primary

Addresses

Primary practice location

2200 Gar Hwy Ste 2a
Swansea, MA 02777-3935

Mailing address

78 Forge Rd
Assonet, MA 02702-1128

Other practice location 1

497 Robeson St
Fall River, MA 02720-5497
Phone (508) 676-0111

Other practice location 2

2359 Mendon Rd
Cumberland, RI 02864-3707
Phone (401) 334-3070

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
DN1856759MAMDPediatric Dentist
DEN03244RIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tongue and Lip-Tie Center of New England Pediatric Dentistry Current Accepting new patients
Lavoie Pediatric Dentistry Pediatric Dentistry Current Accepting new patients
Kids Dental Care of Fall River, PC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 3

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1396188645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 FORGE RD",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GAR HWY STE 2A",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773935",
            "telephone_number": "508-233-3341",
            "fax_number": "508-286-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205497",
            "country_code": "US",
            "telephone_number": "508-676-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2359 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643707",
            "country_code": "US",
            "telephone_number": "401-334-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "D.D.S., M.P.H., M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "DEN03244",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1856759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.