Kenneth L Lawrence, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-01-7034 Issued in OH

Practice address

320 N Maple Ave
Orwell, OH 44076-0065

Phone

(440) 437-8444

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205949559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "address_2": "320 N MAPLE AVE",
            "city": "ORWELL",
            "state": "OH",
            "postal_code": "440760065",
            "telephone_number": "440-437-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAPLE AVE",
            "city": "ORWELL",
            "state": "OH",
            "postal_code": "440760065",
            "telephone_number": "440-437-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-7034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy R Greb, PT
• Tamara Lea Gutierrez, MD
• Stephanus Eric Haryadi, M.D.
• Linda Jacques
• Keystone Rehabilitation Systems Inc (NovaCare Rehabilitation)
• Joan D Limpert, STNA
• Brenda Loomis
• Stacy Marie Mate
• Neil Raymond Meloro, ED. S.
• Mogans Drugs Store Incorporated (Grand Valley Drug)

• General Practice Dentistry in Orwell, OH
• Providers in Orwell, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.