Individual provider Active NPI

James R Lasaponara, D.D.S.

  • Dentist
  • Burlington, VT
National Provider Identifier
1932294121
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0160001135 Issued in VT
Practice address
617 Riverside Avenue
The Dental Center at CHCB
Burlington, VT 05401-1601
Phone
(802) 652-1050
Fax
(802) 652-1056
NPI assigned
Oct 4, 2006
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0160001135 VT Primary

Addresses

Primary practice location

617 Riverside Avenue
The Dental Center at CHCB
Burlington, VT 05401-1601

Mailing address

267 Pearl St
Unit #B-3
Burlington, VT 05401-8564
Phone (802) 864-1927

Other identifiers 2

IdentifierTypeStateIssuer
0160001135OtherVTSTATE LICENSE
1611863MedicaidVT

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
0160001135VTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1932294121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 PEARL ST",
            "address_2": "UNIT #B-3",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018564",
            "telephone_number": "802-864-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVENUE",
            "address_2": "THE DENTAL CENTER AT CHCB",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-652-1050",
            "fax_number": "802-652-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASAPONARA",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "0160001135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0160001135",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611863",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.