Active NPI
Laurie Ann Housworth, DDS
- General Practice Dentistry
- The Villages, FL
National Provider Identifier
1023088085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012509
- Practice address
- 8900 SE 165TH Mulberry Lane
The Villages VA Outpatient Clinic
The Villages, FL 32162 - Phone
- (352) 674-5000
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012509 | GA | Primary |
| General Practice Dentistry | 1223G0001X | HAD7 | FL |
Addresses
Primary practice location
8900 SE 165TH Mulberry Lane
The Villages VA Outpatient Clinic
The Villages, FL 32162
Mailing address
8900 SE 165TH Mulberry Lane
The Villages VA Outpatient Clinic
The Villages, FL 32162
Phone (352) 674-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0767131-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAD7 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1023088085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LANE",
"address_2": "THE VILLAGES VA OUTPATIENT CLINIC",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "352-674-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LANE",
"address_2": "THE VILLAGES VA OUTPATIENT CLINIC",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "352-674-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSWORTH",
"first_name": "LAURIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012509",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "HAD7",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0767131-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.