Active NPI
Dr Larosiliere DDS- Bowie Inc
- Pediatric Dentistry
- Bowie, MD
National Provider Identifier
1245812866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- DR LAROSILIERE DDS- BOWIE INC
- Practice address
- 6000 Laurel Bowie Rd
Bowie, MD 20715-4000 - Phone
- (301) 805-5437
- NPI assigned
- Apr 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Burton
- Title
- Operations Manager
- Phone
- (720) 603-4779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Mailing address
6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Other names 1
- Smiles Pediatric Dental Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619136000000",
"number": "1245812866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAUREL BOWIE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 LAUREL BOWIE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154000",
"telephone_number": "301-805-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR LAROSILIERE DDS- BOWIE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-23",
"last_updated": "2021-04-23",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "720-603-4779"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smiles Pediatric Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.