Active NPI
Michael Aaron Lamp, D.D.S.
- General Practice Dentistry
- Sebring, FL
National Provider Identifier
1992845473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11298
- Practice address
- 4511 Sun N Lake Blvd
Suite 102
Sebring, FL 33872-2169 - Phone
- (863) 385-1911
- Fax
- (863) 385-2869
- NPI assigned
- Feb 7, 2007
- 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 | 11298 | FL | Primary |
Addresses
Primary practice location
4511 Sun N Lake Blvd
Suite 102
Sebring, FL 33872-2169
Mailing address
4511 Sun N Lake Blvd
Suite 102
Sebring, FL 33872-2169
Phone (863) 385-1911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160502001923 | FL | Order and Referring Only - Oral Surgery | 8426278342 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11298 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992845473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 SUN N LAKE BLVD",
"address_2": "SUITE 102",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722169",
"telephone_number": "863-385-1911",
"fax_number": "863-385-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 SUN N LAKE BLVD",
"address_2": "SUITE 102",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722169",
"telephone_number": "863-385-1911",
"fax_number": "863-385-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMP",
"first_name": "MICHAEL",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "11298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
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- Charika Lane Hodo, LPN
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- Lynett Lasanta, OTR/L
- Laser One L.L.C
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.