Organization Active NPI

Laura L. Chamberlain, DDS, PA

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1316030471
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5546 Issued in NC
Legal business name
LAURA L. CHAMBERLAIN, DDS, PA
Practice address
3608 Shannon Rd
Suite 205
Durham, NC 27707-6344
Phone
(919) 489-5600
Fax
(919) 489-2555
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Laura Lea Chamberlain, DDSNPI 1932380482
Title
Dentist/Owner
Phone
(919) 489-5600

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5546 NC Primary

Addresses

Primary practice location

3608 Shannon Rd
Suite 205
Durham, NC 27707-6344

Mailing address

3608 Shannon Rd
Suite 205
Durham, NC 27707-6344
Phone (919) 489-5600

Other identifiers 2

IdentifierTypeStateIssuer
91481OtherBLUE CROSS BLUE SHIELD ID
974731OtherUNITED CONCORDIA ID#

National Provider Directory

National Provider Directory

Locations

3608 Shannon Rd
Ste 205
Durham, NC 27707
Phone (919) 402-9200

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1316030471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 SHANNON RD",
            "address_2": "SUITE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076344",
            "telephone_number": "919-489-5600",
            "fax_number": "919-489-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 SHANNON RD",
            "address_2": "SUITE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076344",
            "telephone_number": "919-489-5600",
            "fax_number": "919-489-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA L. CHAMBERLAIN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "919-489-5600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "91481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID#",
            "identifier": "974731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.