Individual provider Active NPI

Richard Brian Lamanna, DDS

  • Endodontics
  • Burnt Hills, NY
National Provider Identifier
1861515652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Practice address
818 Saratoga Road
Burnt Hills, NY 12027
Phone
(518) 384-0100
Fax
(518) 384-0117
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NY Primary

Addresses

Primary practice location

818 Saratoga Road
Burnt Hills, NY 12027

Mailing address

PO Box 431
818 Saratoga Road
Burnt Hills, NY 12027
Phone (518) 384-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 22, 2016 through Jun 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
176910240NYMDEndodontist
044649NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861515652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "address_2": "818 SARATOGA ROAD",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-384-0100",
            "fax_number": "518-384-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SARATOGA ROAD",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-384-0100",
            "fax_number": "518-384-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANNA",
        "first_name": "RICHARD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.