Individual provider Active NPI

Laura A Bridges, DMD

  • General Practice Dentistry
  • Holmdel, NJ
National Provider Identifier
1386788677
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D101616800 Issued in NJ
Practice address
146 State Route 34
Suite 200
Holmdel, NJ 07733-2407
Phone
(732) 946-4244
Fax
(732) 946-4492
NPI assigned
Feb 19, 2007
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22D101616800 NJ Primary

Addresses

Primary practice location

146 State Route 34
Suite 200
Holmdel, NJ 07733-2407

Mailing address

146 State Route 34 200
Holmdel, NJ 07733-2416
Phone (732) 946-4244

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D101616800NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Center of Holmdel General Practice Past Accepting new patients
Michael Dicarlo DDS PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1386788677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 STATE ROUTE 34 200",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332416",
            "telephone_number": "732-946-4244",
            "fax_number": "732-946-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 STATE ROUTE 34",
            "address_2": "SUITE 200",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332407",
            "telephone_number": "732-946-4244",
            "fax_number": "732-946-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101616800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.