Individual provider Active NPI

Lloyd Lee Laughlin, D.D.S., P.A.

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1124037908
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18132 Issued in TX
Practice address
4600 Fairmont Pkwy
Suite 100
Pasadena, TX 77504-3335
Phone
(281) 998-4916
Fax
(281) 998-4839
NPI assigned
Aug 7, 2006
Reactivated
Jan 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18132 TX Primary

Addresses

Primary practice location

4600 Fairmont Pkwy
Suite 100
Pasadena, TX 77504-3335

Mailing address

4500 E Sam Houston Pkwy S Ste 200
Pasadena, TX 77505-3957
Phone (281) 998-4916

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
18132TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lloyd L. Laughlin D.D.S., P.a. General Practice PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1124037908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S STE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053957",
            "telephone_number": "281-998-4916",
            "fax_number": "281-998-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FAIRMONT PKWY",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043335",
            "telephone_number": "281-998-4916",
            "fax_number": "281-998-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "LLOYD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "deactivation_date": "2023-11-15",
        "reactivation_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

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

Verify at the official NPI Registry.