NPIMap

Organization Active NPI

Kenneth H Lawrence DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mentor, OH
National Provider Identifier
1306058722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30019469 Issued in OH
Legal business name
KENNETH H LAWRENCE DDS, INC
Practice address
8857 Mentor Ave
Mentor, OH 44060-6211
Phone
(440) 974-2040
NPI assigned
May 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth H Lawrence, DDSNPI 1396957718
Title
President
Phone
(440) 974-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30019469 OH Primary

Addresses

Primary practice location

8857 Mentor Ave
Mentor, OH 44060-6211

Mailing address

8857 Mentor Ave
Mentor, OH 44060-6211
Phone (440) 974-2040

National Provider Directory

National Provider Directory

Locations

8857 Mentor Ave
Mentor, OH 44060
Phone (440) 974-2040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306058722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8857 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606211",
            "telephone_number": "440-974-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606211",
            "telephone_number": "440-974-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H LAWRENCE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-974-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30019469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.