Individual provider Active NPI

Jerry A Laws, DDS

  • Dentist
  • Lexington, NC
National Provider Identifier
1396752010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NC4292 Issued in NC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8995153MedicaidNC
403559OtherUNITED CONCORDIA
95153OtherNCBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210001280 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466626692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC4292NCMDDentist
4292NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & Caitlin Pugh DMD PLLC PastSince Aug 2, 2020 Accepting new patients
Jerry a Laws DDS PA Dentist PastSince Nov 8, 2011 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.

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

Sources for this page

Verify at the official NPI Registry.