Barry Richard Lazar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.01865 Issued in OH

Practice address

4320 Mayfield Rd
Suite 105
South Euclid, OH 44121-3661

Phone

(216) 291-2080

Fax

(216) 381-2229

NPI assigned

Mar 30, 2007

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

Enrolled in OH

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

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831219039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 RIVERSIDE DR",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073570",
            "telephone_number": "216-521-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 MAYFIELD RD",
            "address_2": "SUITE 105",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213661",
            "telephone_number": "216-291-2080",
            "fax_number": "216-381-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "BARRY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.01865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Larry
• Telisha Laster, LMT
• Lawrence Home Healthcare LLC
• Devaroe Lawrence
• Deborah Lea Layman, MM, MT-BC
• Cedrick Lee
• Erica Delores Lee
• Gabrielle Nichole Legge, CDCA
• Jacqueline Lemus
• James Thomas Leslie, M.D.

• General Practice Dentistry in South Euclid, OH
• Providers in South Euclid, OH by specialty
• General Practice Dentistry in Ohio

• 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.