NPIMap

Individual provider Active NPI

Larry S Frugoli, DMD

  • Dentist
  • Reno, NV
National Provider Identifier
1154300200
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2051 Issued in NV
Practice address
1010 Caughlin Crossing
Reno, NV 89509
Phone
(775) 329-2995
Fax
(775) 329-3671
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2051 NV Primary

Addresses

Primary practice location

1010 Caughlin Crossing
Reno, NV 89509

Mailing address

1010 Caughlin Crossing
Reno, NV 89509
Phone (775) 329-2995

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Dental Partners PC Past Accepting new patients
Bad Ass Dentistry by Frugoli LTD Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1154300200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CAUGHLIN CROSSING",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-329-2995",
            "fax_number": "775-329-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CAUGHLIN CROSSING",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-329-2995",
            "fax_number": "775-329-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGOLI",
        "first_name": "LARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.