Charles J Laurence, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006401 Issued in VA

Practice address

Naval Medical Center Portsmouth
620 John Paul Jones Cir.
Portsmouth, VA 23708

Phone

(757) 953-8637

NPI assigned

Mar 20, 2007

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Partners in Dental Health LLC

  • Prosthodontics
  • Virginia Beach, VA
  • NPI 1568561900

  General Practice

  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1801911029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HUNGERS PARISH CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234557013",
            "telephone_number": "757-460-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIR.",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENCE",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "179332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "794586",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.j.laurence.ctr@health.mil",
            "affiliation": "N",
            "address_1": "Naval Medical Center Portsmouth",
            "address_2": "620 John Paul Jones Cir.",
            "city": "Portsmouth",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Shane Lashbaugh, P.T.
• Diana Rebecca Laska, CHES, CPH, NCPT, CA
• Lasting Journey Counseling
• Douglas Ernest Latham, MD
• Joseph Laubach
• Laurie a Birsch, DDS, PC
• Lauren Elizabeth Lauterbach
• Chelsea Lavell, PHARM.D.
• Liberty Layne Law, SOCIAL WORKER
• Jason Andrew Lawrence

• General Practice Dentistry in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.