Pedro Lam

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416141 Issued in VA

Practice address

1025 Seneca Rd Ste B
Great Falls, VA 22066-1365

Phone

(571) 306-7676

NPI assigned

May 15, 2018

Last updated

May 17, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Smiles Dental, PLLC

  dba Great Falls and Reston Family Dentistry

  • General Practice Dentistry
  • Great Falls, VA
  • NPI 1356713424
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1992295992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST FL 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SENECA RD STE B",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661365",
            "telephone_number": "571-306-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "PEDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Krause, PT, DPT
• Leila I. Kump, M.D.
• Chrystyna P. Kuzmowych, O.D.
• Robert Rowan La Barre, M.D.
• Lam Dental Arts PLLC (Swish Dental)
• Lauren G. Matini DDS PLLC
• Ralph Lazaro, DDS
• Tran Le, PHARMD
• Cathryn Chandler Lee, CRNP
• David A Lipsey, LMHC

• General Practice Dentistry in Great Falls, VA
• Providers in Great Falls, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.