Active NPI
Lawrence R Law, D.M.D.
- Endodontics
- Wayne, NJ
National Provider Identifier
1689698862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 17695
- Practice address
- 600 Valley Rd
Wayne, NJ 07470-3535 - Phone
- (973) 633-0097
- Fax
- (973) 633-5029
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 17695 | NJ | Primary |
Addresses
Primary practice location
600 Valley Rd
Wayne, NJ 07470-3535
Mailing address
600 Valley Rd
Wayne, NJ 07470-3535
Phone (973) 633-0097
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17695 | NJ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Endodontics, P.C. | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Wayne, NJ
- NPI 1568485910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689698862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 VALLEY RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703535",
"telephone_number": "973-633-0097",
"fax_number": "973-633-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 VALLEY RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703535",
"telephone_number": "973-633-0097",
"fax_number": "973-633-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "LAWRENCE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "17695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- 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.