Lab DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAB DMD LLC

Practice address

131 Main St
Waltham, MA 02453-6636

Phone

(781) 893-7500

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Wenkai Kao, DMD

Title

Owner

Phone

(617) 939-8020

Specialties & licenses 1

Addresses

Tax ID family

Lab DMD LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Lab DMD LLC

  • Dental Clinic/Center
  • Brookline, MA
  • NPI 1316650906
  NPD tax ID
• Lab DMD LLC

  • Dental Clinic/Center
  • Brookline, MA
  • NPI 1578390381
  NPD tax ID

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1831892371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536636",
            "telephone_number": "781-893-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536636",
            "telephone_number": "781-893-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "WENKAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-939-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Kwon, MD
• Clayton Kyle
• Mary Kyuregyan
• Christina La, OD
• Jenifer La, RD, LDN
• Vanessa Labossiere
• Kenneth A Labresh, M.D.
• Edward Lacerte, PT
• Lady Grace Stores, Inc.
• Michael J Lafarr Jr., PSY.D.

• Dental Clinic/Center in Waltham, MA
• Providers in Waltham, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.