Naomi La, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1858392 Issued in MA

Practice address

162 Cordaville Rd Ste 175
Southborough, MA 01772-1838

Phone

(617) 453-8397

NPI assigned

Jul 18, 2016

Last updated

Aug 23, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cedar Brook Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Southborough, MA
  • NPI 1003579277
  NPD Authorized official

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1285087999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BAY DR",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323403",
            "telephone_number": "617-817-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CORDAVILLE RD STE 175",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721838",
            "telephone_number": "617-453-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Kourtelidis
• Javeria Kouser, M.D
• Katherine Kraemer
• Sara Rae Kruger, OTR/L
• Jacqueline Kurpierz
• Elliot Lach, M.D.
• Thomas Lachapelle
• Sarah Lafontaine, M.S., CCC-SLP
• William Lafreniere
• Timothy Wai Hung Lam

• Pediatric Dentistry in Southborough, MA
• Providers in Southborough, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.