Active NPI
Julia Lafen, DMD
- Pediatric Dentistry
- East Greenwich, RI
National Provider Identifier
1871167783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN03663
- Practice address
- 5700 Post Rd Unit 5
East Greenwich, RI 02818-3455 - Phone
- (203) 688-4242
- NPI assigned
- May 15, 2021
- Last updated
- Jul 18, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN03663 | RI | Primary |
Addresses
Primary practice location
5700 Post Rd Unit 5
East Greenwich, RI 02818-3455
Mailing address
5700 Post Rd Unit 5
East Greenwich, RI 02818-3455
Phone (401) 285-2500
Other practice location 1
2435 Nooseneck Hill Rd Unit 4A
Coventry, RI 02816-6798
Phone (401) 823-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210622000374 | CT | Order and Referring Only - Dentist | 4385045871 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03663 | RI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joanne C Lewis Pediatric Dentistry LLC | Pediatric Dentistry | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chariho Children's Dentistry
- Pediatric Dentistry
- East Greenwich, RI
- NPI 1780121350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1871167783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 POST RD UNIT 5",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183455",
"telephone_number": "401-285-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 POST RD UNIT 5",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183455",
"telephone_number": "203-688-4242"
}
],
"practiceLocations": [
{
"address_1": "2435 Nooseneck Hill Rd Unit 4A",
"address_purpose": "LOCATION",
"city": "Coventry",
"state": "RI",
"postal_code": "028166798",
"country_code": "US",
"telephone_number": "401-823-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFEN",
"first_name": "JULIA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-15",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "RI",
"license": "DEN03663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.