Samuel Ross Lasris, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04884 Issued in VA

Practice address

395 South Main Street
Danville, VA 24541-2925

Phone

(434) 797-2357

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Samuel R Lasris DDS

  • General Practice Dentistry
  • Danville, VA
  • NPI 1649555681
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295758969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SOUTH MAIN STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412925",
            "telephone_number": "434-797-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 SOUTH MAIN STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412925",
            "telephone_number": "434-797-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASRIS",
        "first_name": "SAMUEL",
        "middle_name": "ROSS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "04884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7614062",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Langan, COTA/L
• Janet M Langley, COTA
• Floyd Tony Lanier Jr.
• Michial James Largen Jr., CRNA
• Abiose O Lasaki, MD
• Lawrence a. Hayes DDS PLLC
• Melissa A. Layne, LPC
• Angela Carter Lea
• Tomi Lee, QMHP, MBA, MED
• Legrant Chiropractic PC

• General Practice Dentistry in Danville, VA
• Providers in Danville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.