NPIMap

Organization Active NPI

Lawrence W Pompili DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Monroe, MI
National Provider Identifier
1689906349
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
012749 Issued in MI
Legal business name
LAWRENCE W POMPILI DDS PC
Practice address
876 Stewart Rd
#3
Monroe, MI 48162-5345
Phone
(734) 243-9160
Fax
(734) 243-6393
NPI assigned
Feb 5, 2010
Last updated
Feb 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Lawrence W Pompili, DDSNPI 1245287978
Title
President
Phone
(734) 243-9160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 012749 MI Primary

Addresses

Primary practice location

876 Stewart Rd
#3
Monroe, MI 48162-5345

Mailing address

876 Stewart Rd
#3
Monroe, MI 48162-5345
Phone (734) 243-9160

Other identifiers 2

IdentifierTypeStateIssuer
4281993MedicaidMI
3020615MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1689906349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 STEWART RD",
            "address_2": "#3",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625345",
            "telephone_number": "734-243-9160",
            "fax_number": "734-243-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 STEWART RD",
            "address_2": "#3",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625345",
            "telephone_number": "734-243-9160",
            "fax_number": "734-243-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE W POMPILI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "POMPILI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-243-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "012749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4281993",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020615",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.