NPIMap

Organization Active NPI

Robert J. Lacarrubba, DDS, PC

Doing business as Elmwood Village Dental Care

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1942454335
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046843-1 Issued in NY
Legal business name
ROBERT J. LACARRUBBA, DDS, PC
Doing business as
Elmwood Village Dental Care
Practice address
892 Elmwood Ave
Buffalo, NY 14222-1413
Phone
(716) 332-2460
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBERT J. LACARRUBBA, DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Dr. Robert J Lacarrubba, DDS
Title
President/Owner
Phone
(716) 332-2460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046843-1 NY Primary

Addresses

Primary practice location

892 Elmwood Ave
Buffalo, NY 14222-1413

Mailing address

892 Elmwood Ave
Buffalo, NY 14222-1413
Phone (716) 332-2460

Other names 1

  • Elmwood Village Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert J Lacarrubba DDS PC2 organizations share this tax ID, including this one
Part of
Robert J Lacarrubba DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1942454335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221413",
            "telephone_number": "716-332-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221413",
            "telephone_number": "716-332-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. LACARRUBBA, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT J. LACARRUBBA, DDS PC",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "LACARRUBBA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-332-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046843-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Village Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.