Peter Walter Lazarchuk, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901013169 Issued in MI

Practice address

42450 W 12 Mile Rd
Suite 200
Novi, MI 48377-3013

Phone

(248) 348-8808

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 15, 2015 through Oct 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Dental Concepts P.C.

  • General Practice Dentistry
  • Novi, MI
  • NPI 1346279916
  NPD (past)
• Elite Family Dental

  • Dentist
  • Novi, MI
  • NPI 1417824863
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932310844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W LINCOLN ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091900",
            "telephone_number": "224-820-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773013",
            "telephone_number": "248-348-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARCHUK",
        "first_name": "PETER",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna- K Lawson
• Justine Elizabeth Lawson, M.S. CCC-SLP
• Tiffany Nicole Lawson, M.S., TLLP
• Debra Lay-Donnelly
• Kimberly Layne
• Emma Le Claire
• Jane Le
• Samantha Le
• Joelle Lea
• Manaiya S Leaea

• Dentist in Novi, MI
• Providers in Novi, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.