Erin Michelle Lacey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8022 Issued in IA

Practice address

955 31St Street
Marion, IA 52302

Phone

(319) 377-4867

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marion Dental, PC

  • Dental Clinic/Center
  • Marion, IA
  • NPI 1730480013
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1689778680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 31ST STREET",
            "city": "MARION",
            "state": "IA",
            "postal_code": "52302",
            "telephone_number": "319-377-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 31ST STREET",
            "city": "MARION",
            "state": "IA",
            "postal_code": "52302",
            "telephone_number": "319-377-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1195248",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E. Kresnicka, M.D.
• Stacy Krug, CDAC
• David Edward Kunkle, D.C.
• Deepti Smitha Kurra, MD
• Labase LLC
• Haley Joy Lammers, DNP
• George Landusberg
• Sarah Langholz
• Camilla Michelle Lawrence, LISW
• Diane M Lechtenberg

• General Practice Dentistry in Marion, IA
• Providers in Marion, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.