Organization Active NPI

N. Kenneth Lamura, DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Sturbridge, MA
National Provider Identifier
1962697110
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
11756 Issued in MA
Legal business name
N. KENNETH LAMURA, DDS, PC
Practice address
58 Main St
Sturbridge, MA 01566-1507
Phone
(508) 347-9503
Fax
(508) 347-5337
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Ms. Laura J Palmer, CDA
Title
Receptionist
Phone
(508) 347-9503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 11756 MA Primary

Addresses

Primary practice location

58 Main St
Sturbridge, MA 01566-1507

Mailing address

58 Main St
Sturbridge, MA 01566-1507
Phone (508) 347-9503

Other identifiers 7

IdentifierTypeStateIssuer
16340OtherMAHARVARD PILGRIM
98379601OtherMANETWORK HEALTH
0011756BOtherMAFALLON
0100197OtherMADELTA DENTAL OF MA
X10159 / V04120OtherMABCBS OF MA
43942OtherMACIGNA
011756BOtherMATUFTS

National Provider Directory

National Provider Directory

Locations

58 Main St
Sturbridge, MA 01566
Phone (508) 347-2266

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1962697110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661507",
            "telephone_number": "508-347-9503",
            "fax_number": "508-347-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661507",
            "telephone_number": "508-347-9503",
            "fax_number": "508-347-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. KENNETH LAMURA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "508-347-9503",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "11756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "16340",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "98379601",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "0011756B",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF MA",
            "identifier": "0100197",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "X10159 / V04120",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "43942",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "011756B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.