Robert Laraway DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ROBERT LARAWAY DDS

Practice address

206 Duke St
Stevensville, MD 21666-4080

Phone

(410) 855-4430

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Robert Laraway, DDSNPI 1215414917

Title

Owner

Phone

(717) 579-3741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kent Island Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Laraway, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stevensville, MD
  • NPI 1215414917
  NPD Authorized official

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1003410143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 KENT POINT RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216663801",
            "telephone_number": "410-855-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DUKE ST",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216664080",
            "telephone_number": "410-855-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LARAWAY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-579-3741",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100128817",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Island Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Read, D.P.T.
• Richard William Reitz, R.PH.
• Janki Richard
• Lane Brooks Ricketts, OTR
• River Bay Behavioral Health
• Julie Rock
• Samantha Roscioli, DPT
• Savannah Rourk, LGPC
• Tesa Marie Ryan
• Jaime Anne Schell, CRNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.