Individual provider Active NPI

Lawrence Patrick McDonough, D.D.S.

  • Dentist
  • Bordentown, NJ
National Provider Identifier
1881850675
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DIO1593900 Issued in NJ
Practice address
806 Farnsworth Ave
Bordentown, NJ 08505-2104
Phone
(609) 298-8309
Fax
(609) 298-7002
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 22DIO1593900 NJ Primary

Addresses

Primary practice location

806 Farnsworth Ave
Bordentown, NJ 08505-2104

Mailing address

806 Farnsworth Ave
Bordentown, NJ 08505-2104
Phone (609) 298-8309

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
22DIO1593900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alina E Lyons DMD PA Dentist PastSince Jun 7, 2018 Accepting new patients
Better Sleep Inc Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1881850675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 FARNSWORTH AVE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052104",
            "telephone_number": "609-298-8309",
            "fax_number": "609-298-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 FARNSWORTH AVE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052104",
            "telephone_number": "609-298-8309",
            "fax_number": "609-298-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "LAWRENCE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO1593900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.