Individual provider Active NPI

Lajuana M Calegan, DMD

  • General Practice Dentistry
  • Woburn, MA
National Provider Identifier
1689739989
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21605 Issued in MA
Practice address
7 Alfred St.
Suite 125
Woburn, MA 01801
Phone
(781) 933-8380
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21605 MA Primary

Addresses

Primary practice location

7 Alfred St.
Suite 125
Woburn, MA 01801

Mailing address

38 Audubon Rd
Reading, MA 01867
Phone (978) 828-3602

Other names 1

  • Lajuana C Ravens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000150 MA Order and Referring Only - DentistPractitioner - Dentist 4385956366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21605MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fanikos Salib Dental Associates PC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1689739989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 AUDUBON RD",
            "city": "READING",
            "state": "MA",
            "postal_code": "01867",
            "telephone_number": "978-828-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST.",
            "address_2": "SUITE 125",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-933-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALEGAN",
        "first_name": "LAJUANA",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAJUANA",
            "last_name": "RAVENS",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.