Laurie Anne Delucia Fearman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

051938 Issued in NY

Practice address

105 Lake Hill Road.
Burnt Hills, NY 12027

Phone

(518) 399-4290

Fax

(518) 399-5807

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Laurie Anne Delucia-Deranja Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1659477172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAKE HILL ROAD.",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-399-4290",
            "fax_number": "518-399-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAKE HILL ROAD.",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-399-4290",
            "fax_number": "518-399-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCIA FEARMAN",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0519381",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "DELUCIA-DERANJA",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen R Cornell, N.P.
• Chad M. Cornish, M.D.
• CVS Albany LLC
• Erica K Debie-Hunt, CD(DONA)
• John F Defrancisco, M.D.
• Joseph P Denning, D.D.S
• Lawrence Edward Digesare, D.D.S.
• Kristen Grater Donohue, DPT
• Mary Therese Duncan, M.S. ED
• Lisle A Eaton Jr., MD

• Dentist in Burnt Hills, NY
• Providers in Burnt Hills, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.