Active NPI
Lakia Godfrey, DMD
- General Practice Dentistry
- American Fork, UT
National Provider Identifier
1568156404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14277759-9926
- Practice address
- 945 W 500 N Ste 106
American Fork, UT 84003-3773 - Phone
- (385) 365-3961
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13738 | CT | |
| General Practice Dentistry | 1223G0001X | 14277759-9926 | UT | Primary |
Addresses
Primary practice location
945 W 500 N Ste 106
American Fork, UT 84003-3773
Mailing address
PO Box 251
East Lyme, CT 06333-0251
Other practice location 1
179 Deming St Ste A
Manchester, CT 06042-7131
Phone (860) 644-6500
Other practice location 2
25 Hazard Ave
Enfield, CT 06082-3725
Phone (860) 745-0777
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 |
|---|---|---|---|
| 14277759-9926 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick Dermesropian PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Manchester, CT
- NPI 1184925257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1568156404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "EAST LYME",
"state": "CT",
"postal_code": "063330251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 W 500 N STE 106",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840033773",
"telephone_number": "385-365-3961"
}
],
"practiceLocations": [
{
"address_1": "179 Deming St Ste A",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060427131",
"country_code": "US",
"telephone_number": "860-644-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Hazard Ave",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060823725",
"country_code": "US",
"telephone_number": "860-745-0777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODFREY",
"first_name": "LAKIA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13738",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "14277759-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.