Archana Lavana, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20126 Issued in MA

Practice address

581 Pleasant St
Paxton, MA 01612-1382

Phone

(508) 755-2905

Fax

(508) 798-8155

NPI assigned

Mar 28, 2006

Last updated

Oct 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Dental Group of Northborough

  • Dental Clinic/Center
  • Northborough, MA
  • NPI 1205475415
  NPD Authorized official
• Family Dental Group of Paxton

  • General Practice Dentistry
  • Paxton, MA
  • NPI 1811049190
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1508827841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 PLEASANT ST",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121382",
            "telephone_number": "508-755-2905",
            "fax_number": "508-798-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 PLEASANT ST",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121382",
            "telephone_number": "508-755-2905",
            "fax_number": "508-798-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVANA",
        "first_name": "ARCHANA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Lawrence Hammerberg, HIS
• Danny Max Hargrove, D.C.
• Janet Karen Huehls
• Joram Kingori Kiriungi, RN
• Daphne Lee Lambert, RN
• Nikhil Lavana, D.M.D
• Raymond W Le Boeuf Jr., ATC,L
• Thuy Le, O.D.
• Susan Pauline Luna
• Dorothy Makoni, LPN

• General Practice Dentistry in Paxton, MA
• Providers in Paxton, 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 Oct 6, 2015; 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.