Adib Ibrahim Lakis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18362 Issued in MA

Practice address

95 Washington St
Suite 472
Canton, MA 02021-4006

Phone

(781) 821-2120

Fax

(781) 821-2433

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Adib I Lakis P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Canton, MA
  • NPI 1922158732

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972685261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST",
            "address_2": "SUITE 472",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "781-821-2120",
            "fax_number": "781-821-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST",
            "address_2": "SUITE 472",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "781-821-2120",
            "fax_number": "781-821-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIS",
        "first_name": "ADIB",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "X10837",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "380796",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yekaterina Kukharchuk, AGPCNP-BC
• Arunas J. Kuncaitis, ED.D.
• Janet Labelle
• Sheera T Lader
• Amanda Ladow
• Annmarie Lally, C.O.T.A./L
• William Henry Langfield III, D.C.
• Zeyla Anderson Langsdorf
• Jessica Christine Lariviere, DPT
• Sonya L Larrieux, PT

• General Practice Dentistry in Canton, MA
• Providers in Canton, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.