Active NPI
Thomas Lauer
- General Practice Dentistry
- North Hollywood, CA
National Provider Identifier
1396283289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS103125
- Practice address
- 12700 Sherman Way
North Hollywood, CA 91605-5031 - Phone
- (818) 493-4315
- NPI assigned
- Feb 10, 2017
- Reactivated
- Sep 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS103125 | CA | Primary |
Addresses
Primary practice location
12700 Sherman Way
North Hollywood, CA 91605-5031
Mailing address
4518 Lone Tree Way
Antioch, CA 94531-7414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103125 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1396283289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4518 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945317414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SHERMAN WAY",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916055031",
"telephone_number": "818-493-4315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUER",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-10",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"deactivation_date": "2018-09-12",
"reactivation_date": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS103125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.