Individual provider Active NPI

Laura Minsk-Karellos, D.M.D.

  • Periodontics
  • Swarthmore, PA
National Provider Identifier
1215099775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS028124L Issued in PA
Practice address
801 Yale Ave
Suite 619
Swarthmore, PA 19081-1808
Phone
(610) 892-1120
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS028124L PA Primary

Addresses

Primary practice location

801 Yale Ave
Suite 619
Swarthmore, PA 19081-1808

Mailing address

801 Yale Ave
Suite 619
Swarthmore, PA 19081-1808
Phone (610) 892-1120

Other names 1

  • Dr. Laura Minsk Professional name

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

LicenseStateTypeSpecialty
DS028124LPAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215099775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YALE AVE",
            "address_2": "SUITE 619",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811808",
            "telephone_number": "610-892-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 YALE AVE",
            "address_2": "SUITE 619",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811808",
            "telephone_number": "610-892-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSK-KARELLOS",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS028124L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MINSK",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Swarthmore, PA

Sources for this page

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

Verify at the official NPI Registry.