Burton V Largura, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12010166A Issued in IN

Practice address

2705 S Berkley Rd Ste 4a
Kokomo, IN 46902-8007

Phone

(765) 453-2619

Fax

(765) 453-5076

NPI assigned

Jan 16, 2007

Sex

Male

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

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.

• James T Wolfe, DDS, MSD, PC

  • Periodontics
  • Kokomo, IN
  • NPI 1316064793
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033260773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13150 BROOKSHIRE PKWY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460334602",
            "telephone_number": "317-385-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S BERKLEY RD STE 4A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028007",
            "telephone_number": "765-453-2619",
            "fax_number": "765-453-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGURA",
        "first_name": "BURTON",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12010166A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lamott, RBT
• Bernadette Lane, FNP
• Amaya N Langley, RBT
• Jonathan Michael Langley
• Caroline Laplant
• Lawrence O Larson, MD
• Ashley Stuckey Lasher, CCC-SLP
• Nicole Lauer, COTA
• Helene B Laughlin
• Ann Swingle Lauri, MS, MPT

• Periodontics in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.