Individual provider Active NPI

Lawrence Bradford Kessman, DMD

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1396862272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044237 Issued in NY
Practice address
8604 Grand Ave
Suite L2
Elmhurst, NY 11373-4366
Phone
(718) 335-4980
Fax
(718) 565-1245
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 044237 NY Primary

Addresses

Primary practice location

8604 Grand Ave
Suite L2
Elmhurst, NY 11373-4366

Mailing address

8604 Grand Ave
Suite L2
Elmhurst, NY 11373-4366
Phone (718) 335-4980

Other names 1

  • Dr. Lawrence Bradford Kessman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044237NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew I Kessman DDS PC 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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396862272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 GRAND AVE",
            "address_2": "SUITE L2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734366",
            "telephone_number": "718-335-4980",
            "fax_number": "718-565-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 GRAND AVE",
            "address_2": "SUITE L2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734366",
            "telephone_number": "718-335-4980",
            "fax_number": "718-565-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSMAN",
        "first_name": "LAWRENCE",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "KESSMAN",
            "middle_name": "BRADFORD",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.