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LAURA MICHELLE DOUGLAS D.M.D.
NPI 1023496767
Dentist - General Practice in Chicago, IL

Active since May 14, 2015PECOS Enrolled
570 E 115TH ST, CHICAGO, IL 60628(773) 768-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Michelle Douglas D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA MICHELLE DOUGLAS D.M.D. (NPI 1023496767) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.030328) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023496767
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLAURA MICHELLE DOUGLASCredential: D.M.D.
Location Address570 E 115TH STChicago, IL 60628-5740
Mailing Address9119 S Exchange AveChicago, IL 60617-4225 · (773) 768-5000
Phone(773) 768-5000
Sole ProprietorNo
Enumeration DateMay 14, 2015
Last NPPES UpdateNovember 30, 2016
✔ NPI 1023496767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.030328
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
570 E 115TH ST, Chicago, IL 60628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Michelle Douglas D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AISHA TATE-WILLIAMS APRN
Nurse Practitioner (Family)
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000
CHICAGO FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000
KATRINA MOSLEY D.D.S
Dentist
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000
KENDRA DIRIENZO WHNP,CNM
Nurse Practitioner (Women's Health)
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000
MS. JULIA GORDON APRN-BC
Nurse Practitioner (Family)
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000
DR. OPHELIA K. CARLTON DDS
Dentist
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000
MIKYAILA MARIE JARAMILLO
Dentist
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000
ARIEL BERNSTEIN LCSW
Social Worker
570 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 768-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Douglas's NPI number?

The NPI number for Laura Douglas is 1023496767. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Laura Douglas located?

Laura Douglas practices at 570 E 115th St, Chicago, IL 60628. The listed phone number is (773) 768-5000.

What is Laura Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Laura Douglas enrolled in Medicare?

Yes. Laura Douglas is registered in the Medicare PECOS enrollment system.

What insurance does Laura Douglas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Laura Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laura Douglas was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.