Active NPI
Laila Suzette Carr, DDS
- Dentist
- Belleville, MI
National Provider Identifier
1679540421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18003
- Practice address
- 256 3Rd St
Belleville, MI 48111-2606 - Phone
- (734) 697-9200
- Fax
- (734) 697-9293
- NPI assigned
- Mar 1, 2006
- Last updated
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18003 | MI | Primary |
Addresses
Primary practice location
256 3Rd St
Belleville, MI 48111-2606
Mailing address
256 3Rd St
Belleville, MI 48111-2606
Phone (734) 697-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1679540421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 3RD ST",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112606",
"telephone_number": "734-697-9200",
"fax_number": "734-697-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 3RD ST",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112606",
"telephone_number": "734-697-9200",
"fax_number": "734-697-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "LAILA",
"middle_name": "SUZETTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "18003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.