Individual provider Active NPI

Julia Lafen, DMD

  • Pediatric Dentistry
  • East Greenwich, RI
National Provider Identifier
1871167783
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN03663 Issued in RI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622000374 CT Order and Referring Only - DentistPractitioner - Dentist 4385045871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN03663RIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne C Lewis Pediatric Dentistry LLC Pediatric Dentistry PastSince Jul 23, 2023 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.

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

Verify at the official NPI Registry.