Individual provider Active NPI

Laura Beth Hodges, D.D.S.

  • General Practice Dentistry
  • Reidsville, NC
National Provider Identifier
1568699395
Registry record updated Jan 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8799 Issued in NC
Practice address
1109 S Park Dr
Reidsville, NC 27320-5513
Phone
(336) 342-0889
NPI assigned
Jun 19, 2009
Last updated
Jan 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8799 NC Primary

Addresses

Primary practice location

1109 S Park Dr
Reidsville, NC 27320-5513

Mailing address

150 Westwood Dr
Yanceyville, NC 27379-8599
Phone (919) 667-3768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150915001352 NC Order and Referring Only - DentistPractitioner - Dentist 0547577157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Grumbos DDS Reidsville PLLC General Practice PastSince Mar 5, 2023 Accepting new patients
Dr. Joseph Adams, DDS, PA General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1568699395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTWOOD DR",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798599",
            "telephone_number": "919-667-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S PARK DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205513",
            "telephone_number": "336-342-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.