Laura Cardenas, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00009615 Issued in WA

Practice address

4545 S Union Ave
Tacoma, WA 98409-4528

Phone

(253) 485-7500

Fax

(253) 475-9115

NPI assigned

Nov 21, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 24, 2019 through Sep 24, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Nurani, Mitchell, Kim, PC

  • Dentist
  • Tacoma, WA
  • NPI 1700221462
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114092764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094528",
            "telephone_number": "253-485-7500",
            "fax_number": "253-475-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094528",
            "telephone_number": "253-485-7500",
            "fax_number": "253-475-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "LAURA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karie Marie Carbone, MS, OTR/L
• Lisa Carbone
• Florina Carbonel
• Fatima Cardenas Williamson
• Genaro Cardenas, PA-C
• Cardiac Health Specialists PS
• Cardiac Study Center Inc PS
• Jeremy Scott Cardinal, MD
• Kevin Cardinal, CP
• Tara Cardinal, CNM, ARNP

• Periodontics in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.