Individual provider Active NPI

Caroline Rebecca Larosiliere, D.D.S.

  • Pediatric Dentistry
  • Bowie, MD
National Provider Identifier
1790868867
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12378 Issued in MD
Practice address
6000 Laurel Bowie Rd Ste 200
Bowie, MD 20715-4000
Phone
(301) 805-5437
Fax
(301) 805-5439
NPI assigned
Oct 23, 2006
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1000025 DC
Pediatric Dentistry 1223P0221X 11043 SC
Pediatric Dentistry 1223P0221X 12596 TN
Pediatric Dentistry 1223P0221X D.007400-C AL
Pediatric Dentistry 1223P0221X 0401419215 VA
Pediatric Dentistry 1223P0221X 30.027754 OH
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 Ste 208
Lanham, MD 20706-2219
Phone (301) 552-3807

Other practice location 2

1401 Mercantile Ln Ste 102
Upper Marlboro, MD 20774-4306
Phone (301) 773-7703 ext. 2

Other identifiers 2

IdentifierTypeStateIssuer
407170100MedicaidMD
055828800MedicaidDC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12378MDMDClinical Social Worker
DEN1000025DCMDDentist
D.007400-CALMDPediatric Dentist
30.027754OHMDPediatric Dentist
12596TNMDPediatric Dentist
0401419215VAMDPediatric Dentist
11043SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larosiliere and Associates Dental Care, PA Pediatric Dentistry Past Accepting new patients
Caroline Larosiliere DDS and Associates Pediatric Dentistry Past Accepting new patients
Caroline Larosiliere DDS and Associates Pediatric Dentistry Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1790868867",
    "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 Ste 208",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062219",
            "country_code": "US",
            "telephone_number": "301-552-3807",
            "fax_number": "301-552-3809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Mercantile Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207744306",
            "country_code": "US",
            "telephone_number": "301-773-7703 x2",
            "fax_number": "301-773-7708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROSILIERE",
        "first_name": "CAROLINE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000025",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "11043",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "12596",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "D.007400-C",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401419215",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.027754",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407170100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055828800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 23, 2025; 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.