Individual provider Active NPI

Lauren C. Devantier, DDS

  • General Practice Dentistry
  • Niagara Falls, NY
National Provider Identifier
1942460548
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039989 Issued in NY
Practice address
2145 Lancelot Dr
Niagara Falls, NY 14304-3093
Phone
(716) 297-1644
Fax
(716) 297-9855
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039989 NY Primary

Addresses

Primary practice location

2145 Lancelot Dr
Niagara Falls, NY 14304-3093

Mailing address

2145 Lancelot Dr
Niagara Falls, NY 14304-3093
Phone (716) 297-1644

Other identifiers 1

IdentifierTypeStateIssuer
01133944MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001828 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517286420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039989NYMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Dental of Niagara General Practice Past Accepting new patients
Dental Care Associates General Practice 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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1942460548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 LANCELOT DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043093",
            "telephone_number": "716-297-1644",
            "fax_number": "716-297-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 LANCELOT DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043093",
            "telephone_number": "716-297-1644",
            "fax_number": "716-297-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANTIER",
        "first_name": "LAUREN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01133944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.