Organization Active NPI

Caroline Larosiliere DDS and Associates

Doing business as Smiles Pediatric Dental Care

  • Pediatric Dentistry
  • Bowie, MD
National Provider Identifier
1770754160
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12378 Issued in MD
Legal business name
CAROLINE LAROSILIERE DDS AND ASSOCIATES
Doing business as
Smiles Pediatric Dental Care
Practice address
6000 Laurel Bowie Rd Ste 200
Bowie, MD 20715-4000
Phone
(301) 805-5437
Fax
(301) 805-5439
NPI assigned
Mar 13, 2008
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Caroline Rebecca Larosiliere, DDSNPI 1790868867
Title
Owner
Phone
(301) 552-3807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12378 MD Primary

Addresses

Primary practice location

6000 Laurel Bowie Rd Ste 200
Bowie, MD 20715-4000

Mailing address

6000 Laurel Bowie Rd Ste 200
Bowie, MD 20715-4000
Phone (301) 805-5437

Other practice location 1

9811 Greenbelt Rd
Suite 208
Lanham, MD 20706-2215
Phone (301) 552-3807

Other identifiers 2

IdentifierTypeStateIssuer
9179229MedicaidMD
1790868867OtherMDNPI NUMBER

Other names 1

  • Smiles Pediatric Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caroline Larosiliere DDS and Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6000 Laurel Bowie Rd
Ste 200
Bowie, MD 20715
Phone (301) 805-5437

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1770754160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAUREL BOWIE RD STE 200",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154000",
            "telephone_number": "301-805-5437",
            "fax_number": "301-805-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAUREL BOWIE RD STE 200",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154000",
            "telephone_number": "301-805-5437",
            "fax_number": "301-805-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9811 Greenbelt Rd",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062215",
            "country_code": "US",
            "telephone_number": "301-552-3807",
            "fax_number": "301-552-3809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINE LAROSILIERE DDS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "LAROSILIERE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-552-3807",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179229",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1790868867",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Pediatric Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.