Laura Phelps, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9756 Issued in NC

Practice address

112 Harmon LN Ste a
Kernersville, NC 27284

Phone

(336) 993-3751

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• John L. Gravitte, D.D.S., P.a.

  • Dentist
  • Mount Airy, NC
  • NPI 1871776088
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1720490238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARMON LN STE A",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843478",
            "telephone_number": "336-993-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARMON LN STE A",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-993-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Rawley Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270303530",
            "country_code": "US",
            "telephone_number": "336-719-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vershelle Peterson
• Fadora Petit Jean
• Petra Management Consultants LLC
• Katie Rose Petrola, DDS
• Trilbian Pettigrew
• Jaret Phillips, M.A., LCMHCA, NCC
• Physical Medicine of the Carolina's
• Physical Medicine of the Carolinas
• Physical Medicine of the Carolinas
• Michael John Piazza, MD

• Dentist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.