Organization Active NPI

LPB Dental LLC

  • Pediatric Dentistry
  • Bayamon, PR
National Provider Identifier
1609650324
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LPB DENTAL LLC
Practice address
Ave Ramon L Rivera Za-20
Bayamon, PR 00961
Phone
(787) 787-7876
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. Luisana Sarai Pagan, DMDNPI 1508431743
Title
President
Phone
(787) 519-5412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

Ave Ramon L Rivera Za-20
Bayamon, PR 00961

Mailing address

675 SC Bustamante #54
San Juan, PR 00918
Phone (787) 519-5412

Other practice location 1

CARR 172 INT PLAZA DEL CARMEN MAll
caguas, PR 00725
Phone (939) 400-8139

Other names 2

  • Luisana Pagan Doing business as
  • Luisana Pagan Bolivar Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1609650324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SC BUSTAMANTE #54",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-519-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE RAMON L RIVERA ZA-20",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-787-7876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 172 INT PLAZA DEL CARMEN MAll",
            "address_purpose": "LOCATION",
            "city": "caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "939-400-8139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LPB DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "LUISANA",
        "authorized_official_middle_name": "SARAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-519-5412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luisana Pagan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luisana Pagan Bolivar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.