NPIMap

Organization Active NPI

Larry W Loveridge, DMD, PLLC

  • Clinic/Center
  • Kennewick, WA
National Provider Identifier
1063666964
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DE00007618 Issued in WA
Legal business name
LARRY W LOVERIDGE, DMD, PLLC
Doing business as
Larry W Loveridge, DMD, PLLC
Practice address
1921 S Arthur St
Kennewick, WA 99338-1856
Phone
(509) 947-3862
Fax
(509) 735-9885
NPI assigned
Nov 5, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Larry W Loveridge, DMDNPI 1427147404
Title
Pediatric Dentist
Phone
(509) 947-3862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DE00007618 WA Primary

Addresses

Primary practice location

1921 S Arthur St
Kennewick, WA 99338-1856

Mailing address

1921 S Arthur St
Kennewick, WA 99338-1856

Other identifiers 1

IdentifierTypeStateIssuer
5023577MedicaidWA

Other names 1

  • Larry W Loveridge, DMD, PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1063666964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S ARTHUR ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381856",
            "fax_number": "509-735-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S ARTHUR ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381856",
            "telephone_number": "509-947-3862",
            "fax_number": "509-735-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY W LOVERIDGE, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "LOVERIDGE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "509-947-3862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "DE00007618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023577",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry W Loveridge, DMD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.