Active NPI
Peter Laurence, D.M.D.
- Dentist
- Miami Beach, FL
National Provider Identifier
1700962065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6875
- Practice address
- 710 Alton Rd
Miami Beach, FL 33139-5504 - Phone
- (305) 538-8835
- Fax
- (305) 532-5766
- NPI assigned
- Oct 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6875 | FL | Primary |
Addresses
Primary practice location
710 Alton Rd
Miami Beach, FL 33139-5504
Mailing address
4301 Adams Ave
Miami Beach, FL 33140-2927
Phone (305) 673-3474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002434700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6875 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1700962065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 ADAMS AVE",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402927",
"telephone_number": "305-673-3474",
"fax_number": "305-672-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 ALTON RD",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331395504",
"telephone_number": "305-538-8835",
"fax_number": "305-532-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENCE",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-30",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "6875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002434700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.