Active NPI
Lisa Marie Sears, DDS
- Dentist
- Boonville, NY
National Provider Identifier
1811021876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 046947-1
- Practice address
- 3 Schuyler St
Boonville, NY 13309-1109 - Phone
- (315) 942-4514
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- 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 | 046947-1 | NY | Primary |
Addresses
Primary practice location
3 Schuyler St
Boonville, NY 13309-1109
Mailing address
3 Schuyler St
Boonville, NY 13309-1109
Phone (315) 942-4514
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 |
|---|---|---|---|
| 046947-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard L Sears Thomas N Caruso DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Boonville, NY
- NPI 1992870570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811021876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SCHUYLER ST",
"city": "BOONVILLE",
"state": "NY",
"postal_code": "133091109",
"telephone_number": "315-942-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SCHUYLER ST",
"city": "BOONVILLE",
"state": "NY",
"postal_code": "133091109",
"telephone_number": "315-942-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "046947-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boonville, NY
- Richard L Sears Thomas N Caruso DDS PC
- Riverstone Mental Health Counseling Services, P.C.
- Rome Memorial Hospital, Inc
- Melanie Saber, LCSW
- Donna J Salmon, SLP
- Richard Louis Sears Jr., DDS
- Shane Davis Physical Therapy PC
- Sandra Denise Stoquert, LMHC
- Sunset Nursing and Rehabilitation
- The Reconciliation Center
Sources for this page
- 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.