Laurel Alaine Prichard, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2008018262 Issued in MO

Practice address

618 N Benton Ave
Springfield, MO 65806-1102

Phone

(417) 831-0150

Fax

(417) 831-0155

NPI assigned

Jul 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laurel Alaine Sparks Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Networks

• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IA HMO C-SNP
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1013172618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658010681",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N BENTON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061102",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "LAUREL",
        "middle_name": "ALAINE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008018262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "SPARKS",
            "middle_name": "ALAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Joslyn Price, HEALTH EDUCATOR
• Carl I Price, MD
• Hilary Morrow Price, O.D.
• Katie Lynn Price, DNP, APRN, ACCNS-AG
• Ryan C Price, ARNP
• Maribeth E Primm, MS, LPC
• Primrose Nephrology, Inc.
• Primrose OBGYN, P.C.
• Primrose Place Inc
• Katie Primrose, LAT

• Dentist in Springfield, MO
• Providers in Springfield, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.