Active NPI
Patrick B Larosiliere, D.D.S.
- Dentist
- District Heights, MD
National Provider Identifier
1255329397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12811
- Practice address
- 5805 Silver Hill Rd
# G
District Heights, MD 20747-1168 - Phone
- (301) 568-8444
- Fax
- (301) 568-8447
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12811 | MD | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12811 | MD |
Addresses
Primary practice location
5805 Silver Hill Rd
# G
District Heights, MD 20747-1168
Mailing address
5805 Silver Hill Rd
# G
District Heights, MD 20747-1168
Phone (301) 568-8444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407170100 | Medicaid | MD | |
| 401712900 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12811 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Orthodontic and Pediatric Dentistry Associates Corp | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Larosiliere and Associates Dental Care, PA | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
3863 Alabama Ave SE
Washington, DC 20020
Phone (202) 800-4488
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Washington, DC
- NPI 1225778764
Orthodontics and Dentofacial Orthopedics
-
- General Practice Dentistry
- District Heights, MD
- NPI 1194977942
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1255329397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 SILVER HILL RD",
"address_2": "# G",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207471168",
"telephone_number": "301-568-8444",
"fax_number": "301-568-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 SILVER HILL RD",
"address_2": "# G",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207471168",
"telephone_number": "301-568-8444",
"fax_number": "301-568-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSILIERE",
"first_name": "PATRICK",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12811",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "12811",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407170100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401712900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in District Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.