Antonela Dhamko Larashi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021037 Issued in MI

Practice address

451 W Lincoln Ave
Madison Heights, MI 48071-3907

Phone

(774) 239-3972

NPI assigned

Aug 1, 2013

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Antonela Dhamko Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Hallmark Smiles, PLLC

  dba Hallmark Smiles Dental Care

  • Dental Clinic/Center
  • Flint, MI
  • NPI 1235748187
  NPD Authorized official
• Arch Dental PLLC

  • General Practice Dentistry
  • Madison Heights, MI
  • NPI 1124314430
  NPD (past)
• Khoury Dental PLLC

  dba Arch Dental

  • General Practice Dentistry
  • Madison Heights, MI
  • NPI 1134936131
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1851723837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W LINCOLN AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713907",
            "telephone_number": "248-542-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W LINCOLN AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713907",
            "telephone_number": "774-239-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARASHI",
        "first_name": "ANTONELA",
        "middle_name": "DHAMKO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONELA",
            "last_name": "DHAMKO",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamila Lamb
• Gary Langnas, D.O.
• Langston Walker & Associates, P.C.
• Romuald Benjamin Lapointe, ATS
• Cara Marie Lara, AT, ATC
• Elizabeth Marian Larive, D.O.
• Susanne Latessa, LLMSW, MED, BSN, RN
• Christopher Laughhunn
• Brittany Lavere
• Shanna Lawrence-Ellison

• General Practice Dentistry in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.