Individual provider Active NPI

Laureen M Roh, DDS

  • Endodontics
  • La Habra, CA
National Provider Identifier
1962694141
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
40301 Issued in CA
Practice address
1480 S Harbor Blvd
Ste 5
Lahabra, CA 90631
Phone
(714) 870-5200
Fax
(714) 870-5481
NPI assigned
Aug 13, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 40301 CA Primary

Addresses

Primary practice location

1480 S Harbor Blvd
Ste 5
Lahabra, CA 90631

Mailing address

1480 S Harbor Blvd
Ste 5
Lahabra, CA 90631
Phone (714) 870-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20171117002820 CA Order and Referring Only - DentistPractitioner - Dentist 7416213897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40301CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Orange County Dental Specialty Center Endodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1962694141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "STE 5",
            "city": "LAHABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "714-870-5200",
            "fax_number": "714-870-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "STE 5",
            "city": "LAHABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "714-870-5200",
            "fax_number": "714-870-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "LAUREEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "40301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.