David A Lazarchik, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56757 Issued in CA

Practice address

795 E Second St Suite 8
Western University Dental Care Center
Pomona, CA 91766-2020

Phone

(909) 706-3910

Fax

(909) 706-3878

NPI assigned

Jul 5, 2006

Last updated

Jun 1, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1639100316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E SECOND ST SUITE 8",
            "address_2": "WESTERN UNIVERSITY DENTAL CARE CENTER",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662020",
            "telephone_number": "909-706-3910",
            "fax_number": "909-706-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E SECOND ST SUITE 8",
            "address_2": "WESTERN UNIVERSITY DENTAL CARE CENTER",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662020",
            "telephone_number": "909-706-3910",
            "fax_number": "909-706-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARCHIK",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZG3325",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438842543A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Lau
• Hanna Lavassani
• Lawrence R Lai MD Inc
• Canada Lawton
• Monish Jatin Laxpati, M.D.
• Francine Lazo
• Nathan Lazo
• Ronald Carlo Le-Principe
• Anan Le
• Angeline Nguyen Le

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.