Carrie Bullack Laird, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8767 Issued in OR

Practice address

15125 SW Beard Road
Beaverton, OR 97007

Phone

(503) 590-4300

Fax

(503) 590-0269

NPI assigned

Jan 11, 2007

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

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386794626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 GLEN HAVEN ROAD",
            "city": "LAKE OWESGO",
            "state": "OR",
            "postal_code": "97034",
            "telephone_number": "971-998-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 SW BEARD ROAD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97007",
            "telephone_number": "503-590-4300",
            "fax_number": "503-590-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "CARRIE",
        "middle_name": "BULLACK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Lafevre, LMT
• Scott Andrew Lagravinese, MA
• Lags Spine and Sportscare Medical Centers, Inc.
• Lags Spine and Sportscare Medical Centers, Inc.
• Kevin Soon-Sian Lai, DO
• Ryan Laird
• Alicia Lajeunesse
• Marcy G Lake, D.O.
• Meredith Katherine Elaine Lamb
• Carrie Leigh Lamberson, MS

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• 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.