Laura St. Bernard

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

17077 Issued in MD

Practice address

440 S Pickett St
Alexandria, VA 22304-4706

Phone

(571) 413-0833

Fax

(571) 413-0834

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Care for Smiles LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alexandria, VA
  • NPI 1528796620
  NPD Authorized official

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1871182048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 WOODSTREAM LN",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S PICKETT ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044706",
            "telephone_number": "571-413-0833",
            "fax_number": "571-413-0834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Forbes St",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011502",
            "country_code": "US",
            "telephone_number": "410-267-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. BERNARD",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "17077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Squires
• Ekta Srikumar, M.D.
• Abhijit Srungavarapu, MD
• St Angele Healthcare Services Inc
• Mikal Ja'Quinn St Mark, RN
• Stafford Prosthodontics PLLC
• William Syms Stage, M.D.
• Stephanie Stahr, DPT
• Zanathia Stalling
• Matthew Lawrence Stampe, LAC

• Orthodontics and Dentofacial Orthopedics Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.