Robert Lonnie Laing, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10839 Issued in MN

Practice address

1099 East Moore Lake Drive
Fridley, MN 55432

Phone

(763) 586-9988

Fax

(763) 586-9977

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Bauman Ventures LLC

  dba Dentistry for the Entire Family

  • Dental Clinic/Center
  • Fridley, MN
  • NPI 1710716147
  NPD (past)
• Dr John W Cretzmeyer Jr DDS PA

  dba Dentistry for the Entire Family

  • Dentist
  • Fridley, MN
  • NPI 1730346636
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841351582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 EAST MOORE LAKE DRIVE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-586-9988",
            "fax_number": "763-586-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 EAST MOORE LAKE DRIVE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-586-9988",
            "fax_number": "763-586-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAING",
        "first_name": "ROBERT",
        "middle_name": "LONNIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek James Labere, M.D.
• Joni Lager
• Justine Nicole Lahn, LICSW
• Brittany J Lahr, SLP
• Laila's Helping Hands Pca Agency
• Lakeside Floor Coverings, Inc.
• Ian J Lalich, MD
• Landmark Senior Living, LLC
• Vicki Delores Langemo, M.A.,LPC
• Mai Mong Lao, LGSW

• General Practice Dentistry in Fridley, MN
• Providers in Fridley, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.