Active NPI
Jonathan Colin Laprade, DDS, MSC
- Oral and Maxillofacial Radiology Dentistry
- New York, NY
National Provider Identifier
1417621756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 064220
- Practice address
- 345 E 24TH St Ofc 840S
New York, NY 10010-4020 - Phone
- (212) 992-7060
- NPI assigned
- Aug 2, 2021
- Last updated
- Sep 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 064220 | NY | Primary |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 12403 | NC |
Addresses
Primary practice location
345 E 24TH St Ofc 840S
New York, NY 10010-4020
Mailing address
345 E 24TH St Ofc 840S
New York, NY 10010-4020
Phone (212) 992-7060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cl8127@nyu.edu | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 064220 | NY | MD | Oral and Maxillofacial Radiology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1417621756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E 24TH ST OFC 840S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104020",
"telephone_number": "212-992-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 24TH ST OFC 840S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104020",
"telephone_number": "212-992-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPRADE",
"first_name": "JONATHAN",
"middle_name": "COLIN",
"name_prefix": "Dr.",
"credential": "DDS, MSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-02",
"last_updated": "2024-09-09",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NY",
"license": "064220",
"primary": true
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NC",
"license": "12403",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cl8127@nyu.edu",
"affiliation": "N",
"endpointDescription": "work e-mail address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "345 E 24th St Ofc 840S",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100104020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.