Marcus Steven Lastimado, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23570 Issued in TX

Practice address

128 Chaffee Road
Fort Bliss, TX 79906-3811

Phone

(954) 815-5186

NPI assigned

Sep 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1396931499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14032 WARREN BELIN DR",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799285591",
            "telephone_number": "954-815-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CHAFFEE ROAD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799063811",
            "telephone_number": "954-815-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTIMADO",
        "first_name": "MARCUS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Lally, MD
• Alan J Lane, D.D.S.
• Coral K Laney, DO
• James Anthony Lanze, PT, DPT, OCS
• Kirsten Lynn Larson, ATC
• Felix M Latorre, DDS
• Aaron M Lazuka, DDS
• Eric Leblanc, D.M.D.
• Cody Lee, DDS
• Mark Young Lee, M.D.

• General Practice Dentistry in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.