Active NPI
Lawrence Musanje, DDS
- Dentist
- Lakewood, CO
National Provider Identifier
1740429752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN-9842
- Practice address
- 6999 W Alaska Dr
Lakewood, CO 80226-3223 - Phone
- (303) 237-2300
- NPI assigned
- Feb 13, 2009
- Last updated
- Sep 25, 2013
- Sex
- Male
- Sole proprietor
- No
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 | DEN-9842 | CO | Primary |
Addresses
Primary practice location
6999 W Alaska Dr
Lakewood, CO 80226-3223
Mailing address
6999 W Alaska Dr
Lakewood, CO 80226-3223
Phone (303) 237-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52024326 | Medicaid | CO |
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 |
|---|---|---|---|
| DEN-9842 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Star Kids Dentistry PLLC | Past | Accepting new patients | |
| Shining Stars Kids Dentistry PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Commerce City, CO
- NPI 1043760432
-
- General Practice Dentistry
- Lakewood, CO
- NPI 1306136221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1740429752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6999 W ALASKA DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263223",
"telephone_number": "303-237-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6999 W ALASKA DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263223",
"telephone_number": "303-237-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSANJE",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-13",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN-9842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52024326",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.