Laramie Family Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1243 Issued in WY

Legal business name

LARAMIE FAMILY DENTAL, PC

Practice address

3529 E Grand Ave
Laramie, WY 82070-5135

Phone

(307) 742-8484

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

David Maki, D.D.S.

Title

Dentist

Phone

(307) 742-8484

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Laramie Family Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laramie Family Dental, PC

  • Dental Clinic/Center
  • Laramie, WY
  • NPI 1528343092
  NPD tax ID

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1538488317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705135",
            "telephone_number": "307-742-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705135",
            "telephone_number": "307-742-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARAMIE FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-742-8484",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9642",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93239564",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larame Dental Arts PC
• Larame Dental Arts, PC
• Laramie Clinic, P.C.
• Laramie Family Counseling LLC
• Laramie Family Dental, PC
• Laramie Hearing Aid Clinic, LLC
• Laramie Nursing and Rehab Center, LLC
• Laramie Peak Vision LLC
• Laramie Pediatrics Internal Medicine
• Laramie Pediatrics/Laramie Internal Medicine PC

• Dental Clinic/Center in Laramie, WY
• Providers in Laramie, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.