Romeo Nantes Laureano, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7099 Issued in KY

Practice address

120 W Stephen Foster Ave
Suite 107
Bardstown, KY 40004

Phone

(502) 348-1155

Fax

(502) 348-3277

NPI assigned

Nov 2, 2005

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Romeo N. Laureano, D.M.D., P.S.C.

  dba Bluegrass Oral Surgery & Dental Implant Center

  • Dentist
  • Bardstown, KY
  • NPI 1750552733

  Oral & Maxillofacial Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1538150016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE",
            "address_2": "SUITE 107",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-1155",
            "fax_number": "502-348-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE",
            "address_2": "SUITE 107",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-1155",
            "fax_number": "502-348-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREANO",
        "first_name": "ROMEO",
        "middle_name": "NANTES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "7099",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "7099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000113034",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64070998",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60070992",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kroger Limited Partnership I (Kroger Pharmacy)
• Ky Karesmore Pharmacy Services Inc (Crume Drug Store)
• Landmark of Bardstown Rehabilitation and Nursing Center
• Kimberly Laun, LCSW
• Laura Escher-Howell DMD PLLC
• Kristen-Savannah Cathrine Leasgang, RBT
• Teresa M Lee, RD, LD
• Stephanie Leon, DC
• Jillena Marie Leonard, PHARMD
• Dominique Renee Leroy, APRN

• Oral and Maxillofacial Surgery (Dentist) in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.