Larry R Pawl, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35966 Issued in CA

Practice address

7339 El Cajon Blvd Ste F
La Mesa, CA 91941-3435

Phone

(619) 466-4544

Fax

(619) 466-4678

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 15, 2018 through Nov 15, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245315654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7339 EL CAJON BLVD STE F",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413435",
            "telephone_number": "619-466-4544",
            "fax_number": "619-466-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7339 EL CAJON BLVD STE F",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413435",
            "telephone_number": "619-466-4544",
            "fax_number": "619-466-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWL",
        "first_name": "LARRY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E. Dato M.D. Inc.
• Paul Fjeldsted DDS Inc
• Paul J Michels DDS PC (Cardinal Dental)
• Paul L Treger MD a Medical Corporation
• Ana Karen Pavia Gonzalez
• John C Pawlak, D.D.S., M.S.
• Payam Afshar, M.D., P.C.
• Payam Mehranpour, Inc.
• Stephanie Peacock
• David John Peck, D.O.

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, CA by specialty
• General Practice Dentistry in California

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.