Lawrence Robert Ladowski, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5722 Issued in WA

Practice address

21806 103Rd Avenue CT E
Suite 201
Graham, WA 98338-8115

Phone

(253) 847-4388

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Distinctive Imaging, LLC

  • Specialist
  • Graham, WA
  • NPI 1326323163
  NPD (past) Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073582078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15603 138TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749201",
            "telephone_number": "360-893-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21806 103RD AVENUE CT E",
            "address_2": "SUITE 201",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388115",
            "telephone_number": "253-847-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADOWSKI",
        "first_name": "LAWRENCE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5034194",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly D Kirk-Selvester, SUDP-T
• Gechelle Klockeman
• Alena Kolomiyets, LMT
• Kyle Michael Kovach II, DPT
• Michelle Denise La Vergne
• Laura B Lakvold, PHARMD
• Laura Anne Langer, CCC-SLP
• Craig Patrick Lapenski, D.C.
• Destiny Lehman, CBT
• Ashly Melissa Leiton Baker

• General Practice Dentistry in Graham, WA
• Providers in Graham, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.