Active NPI
Nicholas Kenneth Lamura, DDS
- Oral and Maxillofacial Pathology Dentistry
- Sturbridge, MA
National Provider Identifier
1760404222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 11756
- Practice address
- 58 Main St
Sturbridge, MA 01566-1507 - Phone
- (508) 347-9503
- NPI assigned
- Jul 24, 2006
- Last updated
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 11756 | MA | Primary |
Addresses
Primary practice location
58 Main St
Sturbridge, MA 01566-1507
Mailing address
58 Main St
Sturbridge, MA 01566-1507
Phone (508) 347-9503
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011756 | Other | MA | TUFTS |
| 3751 | Other | MA | FALLON |
| V04120 / X10159 | Other | MA | BCBS OF MA |
| 43942 | Other | MA | CIGNA |
| 16340 | Other | MA | HARVARD |
| 98379601 | Other | MA | NETWORK HEALTH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11756 | MA | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1760404222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MAIN ST",
"city": "STURBRIDGE",
"state": "MA",
"postal_code": "015661507",
"telephone_number": "508-347-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 MAIN ST",
"city": "STURBRIDGE",
"state": "MA",
"postal_code": "015661507",
"telephone_number": "508-347-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMURA",
"first_name": "NICHOLAS",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MA",
"license": "11756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "011756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "3751",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "V04120 / X10159",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "43942",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "16340",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "98379601",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sturbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.