Individual provider Active NPI

Carolyn Sawicki Lampard, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Altouna, PA
National Provider Identifier
1588608228
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS031238R Issued in PA
Practice address
901 Valley View Blvd
Altouna, PA 16602
Phone
(814) 946-5060
Fax
(814) 946-4899
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS031238R PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS031238R PA Primary

Addresses

Primary practice location

901 Valley View Blvd
Altouna, PA 16602

Mailing address

901 Valley View Blvd
Altouna, PA 16602
Phone (814) 946-5060

Other identifiers 2

IdentifierTypeStateIssuer
0018753130005MedicaidPA
607451OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001172 PA Practitioner - Maxillofacial Surgery 8628060902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Altoona Center for Oral and Maxillofacial Surgery, LLC CurrentSince Sep 15, 2008 Accepting new patients
Uhring'S Hearing and Balance Center, LLC PastSince Feb 18, 2008 Accepting new patients
Oral Surgery Associates of Central Pennsylvania, PC Oral and Maxillofacial Surgery PastSince Jun 27, 2001 Accepting new patients

Locations

901 Valley View Blvd
Altoona, PA 16602
Phone (814) 943-5198

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1588608228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VALLEY VIEW BLVD",
            "city": "ALTOUNA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-946-5060",
            "fax_number": "814-946-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VALLEY VIEW BLVD",
            "city": "ALTOUNA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-946-5060",
            "fax_number": "814-946-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPARD",
        "first_name": "CAROLYN",
        "middle_name": "SAWICKI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031238R",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS031238R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018753130005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "607451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.