Active NPI
Marie Claude Lacarriere, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1639364722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 046336
- Practice address
- 775 Flatbush Ave
Brooklyn, NY 11226-1901 - Phone
- (718) 941-9656
- Fax
- (718) 941-9657
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046336 | NY | Primary |
Addresses
Primary practice location
775 Flatbush Ave
Brooklyn, NY 11226-1901
Mailing address
225 Broadway
New York, NY 10007-3001
Phone (212) 732-7400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01623936 | Medicaid | NY | |
| 752991770 | Other | NY | INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1639364722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100073001",
"telephone_number": "212-732-7400",
"fax_number": "718-941-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112261901",
"telephone_number": "718-941-9656",
"fax_number": "718-941-9657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACARRIERE",
"first_name": "MARIE",
"middle_name": "CLAUDE",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "046336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01623936",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "752991770",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.