Edward James Lacy,Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5899 Issued in CO

Practice address

2550 Abarr Dr
Loveland, CO 80538-3156

Phone

(970) 667-2372

Fax

(970) 635-9737

NPI assigned

Jun 19, 2005

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.

• Edward J Lacy Jr DDS PC

  dba None

  • Dentist
  • Loveland, CO
  • NPI 1790988830
  NPD (past)
• Signature Colorado Dental Partners LLC

  dba Denver Place Dentistry

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1992275630
  NPD (past)

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

{
    "created_epoch": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548265192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ABARR DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383156",
            "telephone_number": "970-667-2372",
            "fax_number": "970-635-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ABARR DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383156",
            "telephone_number": "970-667-2372",
            "fax_number": "970-635-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY,JR.",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02589901",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L'Arche Fort Collins
• Jeanine Labaw, PMHNP-BC, PSYD
• Lindsay Taylor Labrecque, PHD
• Carlee Lacer, BCBA
• Jamie Lacy, BS
• Lacey Lagrone, M.D.
• Lake Loveland Ambulatory Surgery Center
• Lake Loveland Dermatology PC
• Kelsey Lake
• Lakeview Commons, LLC

• General Practice Dentistry in Loveland, CO
• Providers in Loveland, CO by specialty
• General Practice Dentistry in Colorado

• 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.