Joanna I Laraway, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17142 Issued in MI

Practice address

114 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3008

Phone

(936) 321-1477

Fax

(936) 271-1467

NPI assigned

Oct 28, 2008

Last updated

Sep 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burgardt Family Dentistry PC

  • General Practice Dentistry
  • Ludington, MI
  • NPI 1962712810
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1215180807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VISION PARK BLVD STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843008",
            "telephone_number": "936-321-1477",
            "fax_number": "936-271-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 VISION PARK BLVD STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843008",
            "telephone_number": "936-321-1477",
            "fax_number": "936-271-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAWAY",
        "first_name": "JOANNA",
        "middle_name": "I",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17142",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25987",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wai Yim Lam, M.D.
• Shelby Nicole Lamothe, MS, LPC
• Leah Lee Landreville, PT
• Christopher Langan, M.D.
• Charito Lappay, APRN
• Michael S Laraway, D.D.S.
• Lauren Ashleigh Laroche, MD
• Evelyn A Laryea
• Bharat Latthe, MD
• Vaibhav Latthe, BDS,MDS,CDT

• Dentist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.