Robert FC Larosa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6617 Issued in CT

Practice address

357 Main St S
Pob 593
Woodbury, CT 06798-3408

Phone

(203) 263-5575

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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 CT

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rlarosa466597@direct.ynhh.org

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.

• Staywell Health Care, Inc.

  • Family Medicine Physician
  • Waterbury, CT
  • NPI 1154342335

  CT

  Medicare reassignment NPD
• Family & Preventive Dentistry, PC

  • General Practice Dentistry
  • Woodbury, CT
  • NPI 1538554647

  General Practice

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154545846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "address_2": "357 MAIN ST SOUTH",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067980593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MAIN ST S",
            "address_2": "POB 593",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983408",
            "telephone_number": "203-263-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSA",
        "first_name": "ROBERT",
        "middle_name": "FC",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth L. Burke, O.D.
• Kevin Moshier LCSW LLC
• Lana Lachance LLC
• Lance E. Banwell,DDS,PC
• Tracy Langlois, M.S.,CCC-SLP
• Katherine Layman, N.D.
• Julie Adrienne Levesque, LPC
• Steven L Levy, D.C.
• Litchfield Health, Inc.
• Litchfield Hills Integrative Therapy

• All providers in Woodbury, CT
• General Practice Dentistry in Connecticut

• 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.