Active NPI
Lauren Haley Oliverio
- Dentist
- Garner, NC
National Provider Identifier
1093275414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12450
- Practice address
- 5638 NC Highway 42 W Ste 109
Garner, NC 27529-7998 - Phone
- (919) 772-1463
- NPI assigned
- Mar 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12450 | NC | Primary |
Addresses
Primary practice location
5638 NC Highway 42 W Ste 109
Garner, NC 27529-7998
Mailing address
353 View Dr
Morrisville, NC 27560-5926
Phone (304) 677-2279
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12450 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1093275414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 VIEW DR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605926",
"telephone_number": "304-677-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5638 NC HIGHWAY 42 W STE 109",
"city": "GARNER",
"state": "NC",
"postal_code": "275297998",
"telephone_number": "919-772-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERIO",
"first_name": "LAUREN",
"middle_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.