Romeo N. Laureano, D.M.D., P.S.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROMEO N. LAUREANO, D.M.D., P.S.C.

Doing business as

Bluegrass Oral Surgery & Dental Implant Center

Practice address

120 W Stephen Foster Ave Ste 107
Bardstown, KY 40004-1457

Phone

(502) 348-1155

Fax

(502) 348-3277

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Romeo Nantes Laureano, D.M.D.NPI 1538150016

Title

Owner/President

Phone

(502) 348-1155

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Bluegrass Oral Surgery & Dental Implant Center Doing business as

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.

• Romeo Nantes Laureano, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bardstown, KY
  • NPI 1538150016

  Oral & Maxillofacial Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1750552733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 107",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-348-1155",
            "fax_number": "502-348-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 107",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-348-1155",
            "fax_number": "502-348-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO N. LAUREANO, D.M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "LAUREANO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "NANTES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "502-348-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64070992",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000113034",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60070992",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Oral Surgery & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Ashley Robertson
• Cindy Marie Robinson, P.T.
• Roger Robinson
• Julia Rogers
• Melanie Dawn Rogers, PTA
• Danny Clelland Rucker, RN
• Quendy Rucker, ACNPC-AG
• Svetlana I Sabadash, PHARMD
• Kelley Sue Sabino, LCSW
• Saint Joseph Health System Inc. (CommonSpirit Medical Group- Primary Care- Bardstown)

• Dentist in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.