Active NPI
James R Lasaponara, D.D.S.
- Dentist
- Burlington, VT
National Provider Identifier
1932294121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0160001135
- 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, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160001135 | Other | VT | STATE LICENSE |
| 1611863 | Medicaid | VT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0160001135 | VT | MD | Dentist |
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.