Active NPI
Laurin B Easthom, DDS
- Public Health Dentistry
- Burlington, NC
National Provider Identifier
1104942143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 6817
- Practice address
- 1914 McKinney St
Burlington, NC 27217-2954 - Phone
- (336) 570-6415
- NPI assigned
- Mar 21, 2007
- Last updated
- Aug 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6817 | NC | |
| Public Health Dentistry | 1223D0001X | 6817 | NC | Primary |
Addresses
Primary practice location
1914 McKinney St
Burlington, NC 27217-2954
Mailing address
104 Livingston PL
Chapel Hill, NC 27516-3428
Other practice location 1
5310 Highway 55
Durham, NC 27713
Phone (919) 361-1998
Other practice location 2
104 Livingston Pl
Chapel Hill, NC 27516-3428
Phone (919) 923-2342
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 |
|---|---|---|---|
| 6817 | NC | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1104942143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LIVINGSTON PL",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275163428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 MCKINNEY ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172954",
"telephone_number": "336-570-6415"
}
],
"practiceLocations": [
{
"address_1": "5310 Highway 55",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "27713",
"country_code": "US",
"telephone_number": "919-361-1998",
"fax_number": "919-484-7432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Livingston Pl",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275163428",
"country_code": "US",
"telephone_number": "919-923-2342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTHOM",
"first_name": "LAURIN",
"middle_name": "B",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6817",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NC",
"license": "6817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp of North Carolina & Virginia, Inc.
- Jennifer Lynne Easterling, CRNA
- Eastway Family Care II, LLC
- Eckerd Corporation (Rite Aid Pharmacy 11329)
- Eckerd Corporation (Rite Aid Pharmacy 11331)
- Eckerd Corporation (Rite Aid Pharmacy 11328)
- Edc Drug Stores Inc (Rite Aid Pharmacy 11330)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.