Individual provider Active NPI

Laura Lea Chamberlain, D.D.S.

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1932380482
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5546 Issued in NC
Practice address
3608 Shannon Rd
Suite 205
Durham, NC 27707-6344
Phone
(919) 489-5600
Fax
(919) 489-2555
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5546 NC Primary

Addresses

Primary practice location

3608 Shannon Rd
Suite 205
Durham, NC 27707-6344

Mailing address

3608 Shannon Rd
Suite 205
Durham, NC 27707-6344
Phone (919) 489-5600

Other identifiers 2

IdentifierTypeStateIssuer
974731OtherUNITED CONCORDIA
91481OtherNCBCBS

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

LicenseStateTypeSpecialty
5546NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Laura L. Chamberlain, DDS, PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1932380482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 SHANNON RD",
            "address_2": "SUITE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076344",
            "telephone_number": "919-489-5600",
            "fax_number": "919-489-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 SHANNON RD",
            "address_2": "SUITE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076344",
            "telephone_number": "919-489-5600",
            "fax_number": "919-489-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "974731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91481",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.