Individual provider Active NPI

Lea Planzos

  • Periodontics
  • Brooklyn, NY
National Provider Identifier
1841737608
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
058704-1 Issued in NY
Practice address
7815 4TH Ave
Brooklyn, NY 11209-3701
Phone
(718) 748-1507
Fax
(718) 748-1507
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 058704-1 NY Primary

Addresses

Primary practice location

7815 4TH Ave
Brooklyn, NY 11209-3701

Mailing address

7815 4TH Ave
Brooklyn, NY 11209-3701
Phone (718) 748-1507

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
058704-1NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1841737608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093701",
            "telephone_number": "718-748-1507",
            "fax_number": "718-748-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093701",
            "telephone_number": "718-748-1507",
            "fax_number": "718-748-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANZOS",
        "first_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "058704-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.