Active NPI
Jerry A Laws, DDS
- Dentist
- Lexington, NC
National Provider Identifier
1396752010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NC4292
- Practice address
- 803 East Center Street
Lexington, NC 27292 - Phone
- (336) 249-7708
- Fax
- (336) 249-6490
- NPI assigned
- Aug 2, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | NC4292 | NC | Primary |
Addresses
Primary practice location
803 East Center Street
Lexington, NC 27292
Mailing address
PO Box 1653
Lexington, NC 27293
Phone (336) 249-7708
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8995153 | Medicaid | NC | |
| 403559 | Other | UNITED CONCORDIA | |
| 95153 | Other | NC | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150210001280 | NC | Order and Referring Only - Oral Surgery | 2466626692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC4292 | NC | MD | Dentist |
| 4292 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & Caitlin Pugh DMD PLLC | Past | Accepting new patients | |
| Jerry a Laws DDS PA | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Lexington, NC
- NPI 1285808832
-
dba Pugh Family Dental
- General Practice Dentistry
- Lexington, NC
- NPI 1598373821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396752010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1653",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "27293",
"telephone_number": "336-249-7708",
"fax_number": "336-249-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 EAST CENTER STREET",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "27292",
"telephone_number": "336-249-7708",
"fax_number": "336-249-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWS",
"first_name": "JERRY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "NC4292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8995153",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "403559",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "95153",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, NC
- Aanchal Lal
- Michelle Lynn Lamacchia, NP
- Phillip Barton Land, PA-C
- Landmark Assisted Living LLC (Grayson Creek of Welcome)
- Deeannah Marie Lanning, LCMHCA, NCC,
- Kelly S Laws, PHARM D, RPH
- Anita Sumner Lee
- Beatrice Lee
- Sarah Lee, OTR/L
- Leonard McElroy Brown, Jr., DDS, P.a. (Affordable Dentures & Implants - Lexington)
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.