Laurence G Chacker, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0116170 Issued in NJ

Practice address

6 Colonial Lake Dr
Lawrenceville, NJ 08648-4126

Phone

(609) 883-6900

Fax

(609) 883-2785

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chacker & Chacker PA

  • Periodontics
  • Lawrenceville, NJ
  • NPI 1558565010
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780744201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-6900",
            "fax_number": "609-883-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-6900",
            "fax_number": "609-883-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKER",
        "first_name": "LAURENCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "0116170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Arthritis and Osteoporosis PC
• Center for Attachment & Trauma Therapy
• Central Jersey Spine Associates, P.a.
• Kaceyanne Lynn Cerankowski, PA-C
• Chacker & Chacker PA
• Chin Hao Chang
• Christine Chen, DMD
• Chester B Kulak DMD PA
• Chetan S Shah MD LLC
• Paul H Chew, MD

• Periodontics in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.