NPIMap

Organization Active NPI

Kenneth M. Laro DMD LLC

  • General Practice Dentistry
  • Manchester, CT
National Provider Identifier
1396246708
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007367 Issued in CT
Legal business name
KENNETH M. LARO DMD LLC
Practice address
153 Main St Ste 11
Manchester, CT 06042-3112
Phone
(860) 649-5675
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Kenneth Michael Laro, DMDNPI 1629103841
Title
Owner
Phone
(860) 649-5675

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 Dentistry 1223G0001X 007367 CT Primary

Addresses

Primary practice location

153 Main St Ste 11
Manchester, CT 06042-3112

Mailing address

153 Main St Ste 11
Manchester, CT 06042-3112

National Provider Directory

National Provider Directory

Locations

153 Main St
Ste 11
Manchester, CT 06042
Phone (860) 649-5675

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1396246708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAIN ST STE 11",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAIN ST STE 11",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423112",
            "telephone_number": "860-649-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. LARO DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "LARO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-649-5675",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.