Samuel R Lasris DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412538 Issued in VA

Legal business name

SAMUEL R LASRIS DDS

Practice address

395 S Main St
Danville, VA 24541-2925

Phone

(434) 797-2357

Fax

(434) 797-3596

NPI assigned

Oct 20, 2011

Last updated

Oct 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vicki B Harrelson

Title

Office Receptionist

Phone

(434) 707-2357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Ross Lasris, DDS

  • General Practice Dentistry
  • Danville, VA
  • NPI 1295758969
  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1649555681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SOUTH MAIN STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-797-2357",
            "fax_number": "434-797-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412925",
            "telephone_number": "434-797-2357",
            "fax_number": "434-797-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R LASRIS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE RECEPTIONIST",
        "authorized_official_telephone_number": "434-707-2357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Danville, VA
• Providers in Danville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.