Justina Marie Lapoulas, D.M.D., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901020861 Issued in MI

Practice address

432 S Washington Ave
Unit #1301
Royal Oak, MI 48067-3854

Phone

(248) 469-2724

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Justina Marie D'Agostini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1699103572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 S WASHINGTON AVE",
            "address_2": "UNIT #1301",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673854",
            "telephone_number": "248-469-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S WASHINGTON AVE",
            "address_2": "UNIT #1301",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673854",
            "telephone_number": "248-469-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPOULAS",
        "first_name": "JUSTINA",
        "middle_name": "MARIE",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020861",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901020861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "D'AGOSTINI",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Langlas
• Lauren Langley, CRNA
• Daran Francis Lansky, DDS
• Pramote Laoprasert, MD
• Jamie Laporte-Dewaele
• Ivete Larroquette, PT
• Bradley Larson, M.D.
• Rachelle Marie Larson, PT
• Zinaida O Laska Sobol, MD
• Evelyn Pietrandrea Laskowski, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.