Active NPI
William L Laspe, D.D.S.
- General Practice Dentistry
- Plymouth, MN
National Provider Identifier
1477545135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6134
- Practice address
- 15650 36TH Ave N
Plymouth, MN 55446-2560 - Phone
- (763) 557-0287
- Fax
- (763) 557-0295
- NPI assigned
- Aug 18, 2005
- Reactivated
- Apr 3, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6134 | OR | Primary |
Addresses
Primary practice location
15650 36TH Ave N
Plymouth, MN 55446-2560
Mailing address
3895 35TH St SE
Delano, MN 55328-5200
Phone (541) 784-5111
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6134 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578182400000",
"number": "1477545135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3895 35TH ST SE",
"city": "DELANO",
"state": "MN",
"postal_code": "553285200",
"telephone_number": "541-784-5111",
"fax_number": "763-557-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15650 36TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554462560",
"telephone_number": "763-557-0287",
"fax_number": "763-557-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASPE",
"first_name": "WILLIAM",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2020-01-05",
"certification_date": "2020-01-05",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D6134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.