James A Lake, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

59657 Issued in CA

Practice address

345 Tachevah Dr
Suite 1
Palm Springs, CA 92262-5742

Phone

(760) 327-1138

Fax

(760) 327-2826

NPI assigned

Aug 27, 2010

Last updated

Nov 12, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 7, 2015 through Dec 7, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• John H. Lake, D.D.S. Inc

  • General Practice Dentistry
  • Palm Springs, CA
  • NPI 1790154201
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1588970636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 TACHEVAH DR",
            "address_2": "SUITE 1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625742",
            "telephone_number": "760-327-1138",
            "fax_number": "760-327-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 TACHEVAH DR",
            "address_2": "SUITE 1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625742",
            "telephone_number": "760-327-1138",
            "fax_number": "760-327-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Laser Center PC a Professional Medical Corporation (Palm Springs Skin and Cancer)
• Elena A Labastida, MFT INTERN
• Mai Ngan Nguyen Lai, M.D.
• Alexa Jane Laird
• Craig Duane Lake
• John Herbert Lake, DDS
• John Steven Lake, DDS
• Robert Michael Lake, DDS
• Teresa Rose Lakin
• Jeff Lander

• Dentist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.