Organization Active NPI

Dr Larosiliere DDS- Bowie Inc

  • Pediatric Dentistry
  • Bowie, MD
National Provider Identifier
1245812866
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Apr 23, 2021

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.