Lawrence B Black DDS PC and Kevin Bass DMD PC PTR

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025170L Issued in PA

Legal business name

LAWRENCE B BLACK DDS PC AND KEVIN BASS DMD PC PTR

Practice address

410 N Broad St
Lansdale, PA 19446-2414

Phone

(215) 368-1424

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence B Black, D.D.S.NPI 1427052372

Title

Dentist/Partner

Phone

(215) 368-1424

Specialties & licenses 1

Addresses

Other names 1

• Black and Bass Family Dentistry Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence B Black, D.D.S.

  • General Practice Dentistry
  • Lansdale, PA
  • NPI 1427052372
  NPD (past) Authorized official
• Kevin L. Bass, D.M.D.

  • General Practice Dentistry
  • Lansdale, PA
  • NPI 1093719940
  NPD (past)
• Karin Wheelin, RDH, PHDHP

  • Dental Hygienist
  • Lansdale, PA
  • NPI 1528518438
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1700880663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462414",
            "telephone_number": "215-368-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE B BLACK DDS PC AND KEVIN BASS DMD PC PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/PARTNER",
        "authorized_official_telephone_number": "215-368-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025170L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black and Bass Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Marie Lapps Wert, D.M.D.
• David Latzko
• Rebekah Jane Laughlin, CRNP, FNP-C, FNP-BC
• Amy Lavin, MS
• Leona Fatima Lavong
• Lawrence I. Miller, D.O., P.C.
• Lynn Le Roba, BCABA
• Valerie High Learn, CRNA
• James Lee
• Joon Pyo Lee

• General Practice Dentistry in Lansdale, PA
• Providers in Lansdale, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.