Lisa Lopatin DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

13776 Issued in MI

Legal business name

LISA LOPATIN DDS PC

Practice address

2265 Livernois
Suite 406
Troy, MI 48083

Phone

(248) 362-5055

Fax

(248) 362-5056

NPI assigned

Aug 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Gayle Lopatin, DDSNPI 1093725392

Title

Dentist

Phone

(248) 362-5055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lisa Gayle Lopatin, DDS

  • Dentist
  • Troy, MI
  • NPI 1093725392
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730199035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS",
            "address_2": "SUITE 406",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-362-5055",
            "fax_number": "248-362-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS",
            "address_2": "SUITE 406",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-362-5055",
            "fax_number": "248-362-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA LOPATIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPATIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-362-5055",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Troy, MI
• Providers in Troy, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.