Active NPI
Andre J Laprade, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pawtucket, RI
National Provider Identifier
1841201225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2307
- Practice address
- 123 School St
Pawtucket, RI 02860-4203 - Phone
- (401) 728-0150
- Fax
- (401) 729-4960
- NPI assigned
- Aug 10, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2307 | RI | Primary |
Addresses
Primary practice location
123 School St
Pawtucket, RI 02860-4203
Mailing address
123 School St
Pawtucket, RI 02860-4203
Phone (401) 728-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89984 | Other | RI | BLUE CROSS DENTAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2307 | RI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1841201225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SCHOOL ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604203",
"telephone_number": "401-728-0150",
"fax_number": "401-729-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SCHOOL ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604203",
"telephone_number": "401-728-0150",
"fax_number": "401-729-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPRADE",
"first_name": "ANDRE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "RI",
"license": "2307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS DENTAL",
"identifier": "89984",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.