Individual provider Active NPI

Gabriela Larrea

  • Dentist
  • Lakeland, FL
National Provider Identifier
1033841473
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27099 Issued in FL
Practice address
5406 Strickland Ave
Lakeland, FL 33812-4264
Phone
(863) 648-1030
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27099 FL Primary

Addresses

Primary practice location

5406 Strickland Ave
Lakeland, FL 33812-4264

Mailing address

5406 Strickland Ave
Lakeland, FL 33812-4264
Phone (863) 648-1030

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
27099FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Belkis Z Musalen, DMD, PA CurrentSince Jun 25, 2023 Accepting new patients

Locations

5406 Strickland Ave
Lakeland, FL 33812
Phone (863) 648-1030

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1033841473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 STRICKLAND AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124264",
            "telephone_number": "863-648-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 STRICKLAND AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124264",
            "telephone_number": "863-648-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARREA",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.