Individual provider Active NPI

Laura Styron, D.D.S.

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1720348832
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001758 Issued in DC
Practice address
1120 19TH St NW Ste 400
Washington, DC 20036-3661
Phone
(202) 833-1111
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6386 OK
General Practice Dentistry 1223G0001X 202455 CO
General Practice Dentistry 1223G0001X DEN1001758 DC Primary

Addresses

Primary practice location

1120 19TH St NW Ste 400
Washington, DC 20036-3661

Mailing address

1370 Taylor St NW
Washington, DC 20011-5508
Phone (405) 517-2382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20151026002254 CO Order and Referring Only - DentistPractitioner - Dentist 7012225410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202455COMDGeneral Practice Dentistry
DEN1001758DCMDGeneral Practice Dentistry
6386OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Styron Dental PLLC CurrentSince Nov 24, 2024 Accepting new patients
Cherry Creek Modern Dentistry, LLP General Practice Past Accepting new patients

Locations

1120 19th St NW
Ste 400
Washington, DC 20036
Phone (202) 833-1111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1720348832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 TAYLOR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115508",
            "telephone_number": "405-517-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 19TH ST NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363661",
            "telephone_number": "202-833-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYRON",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6386",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202455",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.