Jacobo Lavie, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

035339 Issued in NY

Practice address

200 South Broadway
Suite 109
Tarrytown, NY 10591-4504

Phone

(914) 631-6688

Fax

(914) 332-6068

NPI assigned

Sep 16, 2006

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

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659477370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH BROADWAY",
            "address_2": "SUITE 109",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914504",
            "telephone_number": "914-631-6688",
            "fax_number": "914-332-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH BROADWAY",
            "address_2": "SUITE 109",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914504",
            "telephone_number": "914-631-6688",
            "fax_number": "914-332-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIE",
        "first_name": "JACOBO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "035339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily R. Lantz, PSY.D.
• Grace Larencule
• Valerie Ann Larson, MD, PHD
• Lisa Michelle Latzo, DPT
• Laurie Waxler CSW PC
• Lawrence Ruck, DC PLLC
• Scott Lawrence
• Shawn Lawrence
• Gloria S. Lazar, M.S., CCC-SLP
• Bianca Ginette Agustin Leal, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.