Active NPI
Lester Clayton Laraway, DDS
- Pediatric Dentistry
- Hillsboro, OR
National Provider Identifier
1437264538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D8232
- Practice address
- 19075 NW Tanasbourne Dr
Ste 300
Hillsboro, OR 97124 - Phone
- (503) 531-1700
- NPI assigned
- Aug 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D8232 | OR | Primary |
| Pediatric Dentistry | 1223P0221X | 20435 | TX |
Addresses
Primary practice location
19075 NW Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Mailing address
2340 NW Thurman St
#303
Portland, OR 97210
Phone (503) 227-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20110721000232 | OR | Order and Referring Only - Dentist | 4082882832 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8232 | OR | MD | Pediatric Dentist |
| 20435 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437264538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 NW THURMAN ST",
"address_2": "#303",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-227-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19075 NW TANASBOURNE DR",
"address_2": "STE 300",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "97124",
"telephone_number": "503-531-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARAWAY",
"first_name": "LESTER",
"middle_name": "CLAYTON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D8232",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "20435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
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.