Laura Pepa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901019142 Issued in MI

Practice address

16555 Ten Mile Rd
Riviera Plaza Great Expressions Dental
Eastpointe, MI 48021

Phone

(586) 778-3838

Fax

(586) 778-3513

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Laser Dental Associates-Sterling Heights PLLC

  • Dental Clinic/Center
  • Sterling Heights, MI
  • NPI 1831950930
  NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518044486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 SADLER",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48092",
            "telephone_number": "586-615-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 TEN MILE RD",
            "address_2": "RIVIERA PLAZA GREAT EXPRESSIONS DENTAL",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-778-3838",
            "fax_number": "586-778-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPA",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Universal Care LLC
• Renee Pearson, IBCLC
• Diana Pedrak
• Lashae Nicole Penny
• Glenda G Peoples-Vernier, D.D.S.
• Tomichael La'Chelle Percy
• Perfect Eyes Optical LLC
• Taniesha L Perkins
• Perry Drug Stores Inc and Subsidiaries
• Peter C. Dodenhoff DO PC

• Dentist in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Dentist in Michigan

• 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.

Verify at the official NPI Registry.