Lara D. Minahan, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12743 Issued in MD

Practice address

3423 Olney - Laytonsville Rd.
Suite 3a
Olney, MD 20832

Phone

(301) 260-2030

Fax

(301) 260-0633

NPI assigned

Mar 5, 2009

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1508006354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 GEORGIA AVENUE",
            "address_2": "SUITE N",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-260-2030",
            "fax_number": "301-260-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 OLNEY - LAYTONSVILLE RD.",
            "address_2": "SUITE 3A",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-260-2030",
            "fax_number": "301-260-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAHAN",
        "first_name": "LARA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "12743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Miller, LMSW
• Ellen Miller, MA CCC SLP
• Mark William Miller, MD
• Chmaika Pecolyer Mills, PHD
• Tiffaney Mills, MSW, LCSW-C
• Christopher Thomas Minarcin, LMSW
• Mfoumou Minlo, LCPC
• Minuteclinic LLC
• Miracleone Universal Health Care and Staffying Agency, Inc.
• Mayur M Mistry, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Olney, MD
• Providers in Olney, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.