Individual provider Active NPI

Douglas Robert Lipman, D.D.S.

  • Dentist
  • Monroe, NY
National Provider Identifier
1871738732
Registry record updated Dec 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
028107 Issued in NY
Practice address
845 State Route 17M
Suite 201
Monroe, NY 10950-1606
Phone
(845) 782-8686
Fax
(845) 783-8457
NPI assigned
Dec 7, 2008
Last updated
Dec 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 028107 NY Primary

Addresses

Primary practice location

845 State Route 17M
Suite 201
Monroe, NY 10950-1606

Mailing address

845 State Route 17M
Suite 201
Monroe, NY 10950-1606
Phone (845) 782-8686

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

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Dental of Monroe, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1228608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228608000000",
    "number": "1871738732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 STATE ROUTE 17M",
            "address_2": "SUITE 201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501606",
            "telephone_number": "845-782-8686",
            "fax_number": "845-783-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 STATE ROUTE 17M",
            "address_2": "SUITE 201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501606",
            "telephone_number": "845-782-8686",
            "fax_number": "845-783-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPMAN",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-07",
        "last_updated": "2008-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2008; 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.