DR. MARTIAL ISAAC LAVANT (NPI# 1205100856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205100856 |
| Entity Type | Individual |
| Full Name | DR. MARTIAL ISAAC LAVANT |
| Credential | DDS |
| Practice Address |
1770 Grand Concourse Apt 2f Bronx NY 10457-5526 |
| Practice Telephone | 7189018110 |
| Practice Fax Number | 7189018121 |
| Mailing Telephone | 7189018110 |
| Mailing Fax Number | 7189018121 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1770 GRAND CONCOURSE APT 2F |
| City | BRONX |
| State | NY |
| Zip Code | 10457-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558467282 | Herminio Perez | Dentist | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2006-09-16 |
| 1720410707 | Afunrhe Oghre-ikanone | Dentist | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2013-08-01 |
| 1073873410 | Lana Tran | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2012-05-19 |
| 1275890667 | Charlton Ryan Conner | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2012-04-23 |
| 1134485907 | Sonia Arevalo | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2012-04-06 |
| 1891061354 | David Lee Smith | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2012-03-29 |
| 1609140169 | Vikram Dasari | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2012-03-01 |
| 1326335191 | Chien Han Huang | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2011-06-30 |
| 1811281637 | Marc Conel Thevenin Jr. | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2011-06-09 |
| 1518251339 | Courtney Everald Peck | Student in an Organized Health Care Education/Training Program | 1770 Grand Concourse Apt 2f, Bronx, NY 10457-5526 | 2011-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151041 | Islam Moheisen | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Rm 6s11, Bronx, NY 10461-1197 | 2020-10-15 |
| 1942814710 | Wai Bun Liew | Student in an Organized Health Care Education/Training Program | 234 E 149th St Ste 2a8, Bronx, NY 10451-5504 | 2020-08-31 |
| 1013520444 | Aireni A Sterling Lachapel | Student in an Organized Health Care Education/Training Program | 3212 Decatur Ave Apt 3a, Bronx, NY 10467-4223 | 2020-08-25 |
| 1023629748 | Shellsea Portillo Canales | Student in an Organized Health Care Education/Training Program | 4222 3rd Ave, Bronx, NY 10457-4502 | 2020-08-14 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1962012161 | Yinelka Grisel Silverio De Castro | Student in an Organized Health Care Education/Training Program | 234 E 149th St Dept Internal, Bronx, NY 10451-5504 | 2020-08-03 |
| 1164031316 | Patrick Michael Biskupski | Student in an Organized Health Care Education/Training Program | 234 E 149th St Fl 8, Bronx, NY 10451-5504 | 2020-07-23 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1598373615 | Sharan Mirchandani | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave Bldg 4th, Bronx, NY 10457-2545 | 2020-07-15 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.