Organization Active NPI

Lawrence Smile Design LLC

  • Dentist
  • Lawrence, MA
National Provider Identifier
1629557178
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856884 Issued in MA
Legal business name
LAWRENCE SMILE DESIGN LLC
Practice address
171 S Broadway
Lawrence, MA 01843-1426
Phone
(978) 989-9988
Fax
(978) 989-9088
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Celia Huang, DDSNPI 1447639034
Title
Dentist / Ower
Phone
(978) 989-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN1856884 MA Primary

Addresses

Primary practice location

171 S Broadway
Lawrence, MA 01843-1426

Mailing address

171 S Broadway
Lawrence, MA 01843-1426
Phone (978) 989-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211007000246 MA Part B Supplier - Clinic/Group Practice 1355749250 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, MA

National Provider Directory

National Provider Directory

Locations

171 S Broadway
Lawrence, MA 01843
Phone (978) 989-9988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1629557178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431426",
            "telephone_number": "978-989-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431426",
            "telephone_number": "978-989-9988",
            "fax_number": "978-989-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE SMILE DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "DENTIST / OWER",
        "authorized_official_telephone_number": "978-989-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.