Jeffrey J Laro, DMD, MHS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3171 Issued in SC

Practice address

2090 Charlie Hall Blvd
Suite 100
Charleston, SC 29414-8200

Phone

(843) 766-7131

Fax

(843) 766-1839

NPI assigned

Oct 24, 2012

Sex

Male

Sole proprietor

Yes

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 May 20, 2019 through May 20, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1134472426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 CHARLIE HALL BLVD",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148200",
            "telephone_number": "843-766-7131",
            "fax_number": "843-766-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 CHARLIE HALL BLVD",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148200",
            "telephone_number": "843-766-7131",
            "fax_number": "843-766-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARO",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD, MHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "3171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lantana Recovery
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• Sarah Katherine Lants, MD
• Margaret Laporte, MD
• Natalie Lapreziosa, AU.D.
• Luke Michael Larochelle, MD
• Elizabeth Albrittan Laroque-Gotbeter
• Angela Larosa, MD
• Liza Marie Larranaga
• Nicole K Larsen, PHARMD

• Periodontics in Charleston, SC
• Providers in Charleston, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.