Organization Active NPI

LC Dentistry PC

Doing business as Dr. Bob's Dental of Cheektowaga

  • General Practice Dentistry
  • Cheektowaga, NY
National Provider Identifier
1568811164
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055095 Issued in NY
Legal business name
LC DENTISTRY PC
Doing business as
Dr. Bob's Dental of Cheektowaga
Practice address
3099 William St
Cheektowaga, NY 14227-1919
Phone
(716) 668-2998
Fax
(716) 668-2198
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Dr. Robert J Lacarrubba, DDS
Title
Co-Owner
Phone
(716) 668-2998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 055095 NY Primary

Addresses

Primary practice location

3099 William St
Cheektowaga, NY 14227-1919

Mailing address

3099 William St
Cheektowaga, NY 14227-1919
Phone (716) 668-2998

Other names 1

  • Dr. Bob's Dental of Cheektowaga Doing business as

National Provider Directory

National Provider Directory

Locations

3099 William St
Cheektowaga, NY 14227
Phone (716) 668-2998

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1568811164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 WILLIAM ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271919",
            "telephone_number": "716-668-2998",
            "fax_number": "716-668-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 WILLIAM ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271919",
            "telephone_number": "716-668-2998",
            "fax_number": "716-668-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "LACARRUBBA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "716-668-2998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bob's Dental of Cheektowaga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.