NPIMap

Organization Active NPI

Larreau and Thomas, PLLC

  • Dentist
  • Marysville, WA
National Provider Identifier
1043645963
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60074615 Issued in WA
Legal business name
LARREAU AND THOMAS, PLLC
Practice address
17317 27TH Ave NE
Suite 101
Marysville, WA 98271-4745
Phone
(360) 653-5577
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Brad A Larreau, DDS
Title
Member
Phone
(316) 617-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60074615 WA Primary

Addresses

Primary practice location

17317 27TH Ave NE
Suite 101
Marysville, WA 98271-4745

Mailing address

17317 27TH Ave NE
Suite 101
Marysville, WA 98271-4745
Phone (360) 653-5577

Other names 1

  • Seven Lakes Dental Doing business as

National Provider Directory

National Provider Directory

Locations

17317 27th Ave NE
Ste 101
Marysville, WA 98271
Phone (360) 653-5577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1043645963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17317 27TH AVE NE",
            "address_2": "SUITE 101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714745",
            "telephone_number": "360-653-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17317 27TH AVE NE",
            "address_2": "SUITE 101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714745",
            "telephone_number": "360-653-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARREAU AND THOMAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "LARREAU",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-617-5888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60074615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seven Lakes Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.