Active NPI
Lawrence Edward Stein, D.M.D.
- Dentist
- Miami, FL
National Provider Identifier
1699073767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4441
- Practice address
- 8821 SW 107TH Ave
Miami, FL 33176-1411 - Phone
- (305) 279-0202
- Fax
- (305) 595-0060
- NPI assigned
- Mar 14, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4441 | FL | Primary |
Addresses
Primary practice location
8821 SW 107TH Ave
Miami, FL 33176-1411
Mailing address
8821 SW 107 Ave
Miami, FL 33176-1411
Phone (305) 279-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4441 | Other | FL | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 4441 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1699073767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8821 SW 107 AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761411",
"telephone_number": "305-279-0202",
"fax_number": "305-595-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8821 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761411",
"telephone_number": "305-279-0202",
"fax_number": "305-595-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "LAWRENCE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "4441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4441",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.