Active NPI
Thomas Patrick Lacey II, DMD
- General Practice Dentistry
- Harrisburg, PA
National Provider Identifier
1952963621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS042325
- Practice address
- 4655 Linglestown Rd Ste a
Harrisburg, PA 17112-8544 - Phone
- (717) 652-4551
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042325 | PA | Primary |
Addresses
Primary practice location
4655 Linglestown Rd Ste a
Harrisburg, PA 17112-8544
Mailing address
6252 Billingsgate
Mechanicsburg, PA 17050-5224
Phone (717) 645-8913
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 |
|---|---|---|---|
| DS042325 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Harrisburg, PA
- NPI 1306883681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1952963621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6252 BILLINGSGATE",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170505224",
"telephone_number": "717-645-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 LINGLESTOWN RD STE A",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171128544",
"telephone_number": "717-652-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEY",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.