Active NPI
Madel P Lacson, DMD
- Dentist
- Commerce, CA
National Provider Identifier
1407079767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49353
- Practice address
- 5211 E Washington Blvd
Ste #7
Commerce, CA 90040-3960 - Phone
- (323) 267-0000
- Fax
- (323) 265-4442
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- 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 | 49353 | CA | Primary |
Addresses
Primary practice location
5211 E Washington Blvd
Ste #7
Commerce, CA 90040-3960
Mailing address
5211 E Washington Blvd
Suite #7
Commerce, CA 90040-3960
Phone (323) 267-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B9407601 | Other | CA | MEDICAL DENTAL PROGRAM |
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 |
|---|---|---|---|
| 49353 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madel P Lacson DMD Inc | Dentist | 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.
-
- Dentist
- Commerce, CA
- NPI 1003938630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407079767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5211 E WASHINGTON BLVD",
"address_2": "SUITE #7",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900403960",
"telephone_number": "323-267-0000",
"fax_number": "323-265-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 E WASHINGTON BLVD",
"address_2": "STE #7",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900403960",
"telephone_number": "323-267-0000",
"fax_number": "323-265-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACSON",
"first_name": "MADEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL DENTAL PROGRAM",
"identifier": "B9407601",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
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.