NPIMap

Individual provider Active NPI

Lauren Andreolas Baratta

  • Dentist
  • Lebanon, NH
National Provider Identifier
1659754877
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
04509 Issued in NH
Practice address
2 Campbell St
Lebanon, NH 03766-1304
Phone
(603) 448-4200
NPI assigned
Jul 7, 2015
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21307 FL
Dentist 122300000X 04509 NH Primary

Addresses

Primary practice location

2 Campbell St
Lebanon, NH 03766-1304

Mailing address

2 Campbell St
Lebanon, NH 03766-1304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21307FLMDDentist
04509NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
George Petrescu-Boboc DDS PLLC PastSince May 3, 2020 Accepting new patients
Mascoma Dental Associates,PLLC PastSince May 3, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1659754877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAMPBELL ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAMPBELL ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661304",
            "telephone_number": "603-448-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATTA",
        "first_name": "LAUREN",
        "middle_name": "ANDREOLAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "21307",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.