John T Lask, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

016074 Issued in MO

Practice address

1504 NE 96TH St
Suite B
Liberty, MO 64068-1348

Phone

(816) 415-4700

Fax

(816) 415-4760

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811057805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 NE 96TH ST",
            "address_2": "SUITE B",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-415-4700",
            "fax_number": "816-415-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 NE 96TH ST",
            "address_2": "SUITE B",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-415-4700",
            "fax_number": "816-415-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASK",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "016074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "016074",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lee Lambert
• Nathaniel Lampton, PHARM.D
• Lindsay Lanaman
• Allison Landewee
• Monica Lanier
• Daniel Latz
• Tenley Elissa Lawhead
• Ashlee Lawson, LMSW, MSW
• Mable Marie Leckrone, D.C.
• Kayla Lee

• Endodontics in Liberty, MO
• Providers in Liberty, MO by specialty
• Endodontics in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.