Active NPI
Laila Von Andrian, DMD
- Dentist
- Taunton, MA
National Provider Identifier
1992062384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20348
- Practice address
- 2007 Bay Street
Tufts Dental Facility at Northwoods Medical Center
Taunton, MA 02780 - Phone
- (508) 823-7323
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20348 | MA | Primary |
Addresses
Primary practice location
2007 Bay Street
Tufts Dental Facility at Northwoods Medical Center
Taunton, MA 02780
Mailing address
2007 Bay Street
Tufts Dental Facility at Northwoods Medical Center
Taunton, MA 02780
Phone (508) 823-7323
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN20348 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1992062384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 BAY STREET",
"address_2": "TUFTS DENTAL FACILITY AT NORTHWOODS MEDICAL CENTER",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-823-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 BAY STREET",
"address_2": "TUFTS DENTAL FACILITY AT NORTHWOODS MEDICAL CENTER",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-823-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON ANDRIAN",
"first_name": "LAILA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN20348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.