Jason Lamar Lairsey, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012916 Issued in GA

Practice address

103 W Cranford Ave
Valdosta, GA 31602-2930

Phone

(229) 249-0717

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Valdosta Dental Associates

  • General Practice Dentistry
  • Valdosta, GA
  • NPI 1164605051
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528128683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3796 CREEKWOOD DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316020857",
            "telephone_number": "229-244-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W CRANFORD AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022930",
            "telephone_number": "229-249-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRSEY",
        "first_name": "JASON",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369182184A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L.E.a.F. Therapy Services L.L.C.
• L&LC Reliable Transportation
• Laboratory Corporation of America
• Anaiya Labrador
• Lori Lacy
• Sandhya Lakkireddy, MD
• Edwin L. Lamb, D.M.D.
• Mario Martez Lampkin
• Barbara Mallory Lane, NP
• Barbara P Lane, R.D.

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, GA by specialty
• General Practice Dentistry in Georgia

• 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.

Verify at the official NPI Registry.