Individual provider Active NPI

Franklin Cameron Lackee, D.D.S

  • Dentist
  • Middletown, NY
National Provider Identifier
1700883923
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
051200 Issued in NY
Practice address
419 E Main St
Suite: 202
Middletown, NY 10940-2552
Phone
(845) 343-1533
Fax
(845) 343-2109
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 051200 NY Primary

Addresses

Primary practice location

419 E Main St
Suite: 202
Middletown, NY 10940-2552

Mailing address

419 E Main St
Suite: 202
Middletown, NY 10940-2552
Phone (845) 343-1533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000197 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4688956709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1700883923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E MAIN ST",
            "address_2": "SUITE: 202",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402552",
            "telephone_number": "845-343-1533",
            "fax_number": "845-343-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E MAIN ST",
            "address_2": "SUITE: 202",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402552",
            "telephone_number": "845-343-1533",
            "fax_number": "845-343-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEE",
        "first_name": "FRANKLIN",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.