Jean Yves Vladimir Lamarre

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859002 Issued in MA

Practice address

1852 Centre St
West Roxbury, MA 02132-1901

Phone

(617) 934-2951

NPI assigned

Jun 11, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1447828066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NORFOLK ST APT 8",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392622",
            "telephone_number": "857-417-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321901",
            "telephone_number": "617-934-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARRE",
        "first_name": "JEAN YVES",
        "middle_name": "VLADIMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Krueger, MS, RD, CDE
• Nancy Brim Kurtz, MD
• Andrea Kushman, LAT
• Ada Kwan
• Nahed Lakkis, DMD
• Barry Michael Lamont, MD, CM
• Landonia House
• Thomas F Langevin, RN
• Diane Elizabeth Lapsley, R.N.
• Laser Laser Inc

• General Practice Dentistry in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.