Active NPI
Michael John Lakota, DDS
- Dentist
- Naperville, IL
National Provider Identifier
1609059914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-024189
- Practice address
- 1767 W Ogden Ave
St 123
Naperville, IL 60540-3943 - Phone
- (630) 983-2600
- Fax
- (630) 983-3697
- NPI assigned
- Dec 10, 2007
- Last updated
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-024189 | IL | Primary |
Addresses
Primary practice location
1767 W Ogden Ave
St 123
Naperville, IL 60540-3943
Mailing address
1767 W Ogden Ave
St 123
Naperville, IL 60540-3943
Phone (630) 983-2600
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 |
|---|---|---|---|
| 019-024189 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Dental PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1609059914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1767 W OGDEN AVE",
"address_2": "ST 123",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605403943",
"telephone_number": "630-983-2600",
"fax_number": "630-983-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 W OGDEN AVE",
"address_2": "ST 123",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605403943",
"telephone_number": "630-983-2600",
"fax_number": "630-983-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKOTA",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-024189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.