NPIMap

Organization Active NPI

RSS Lawrence Emmott LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1275043473
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DO2275 Issued in AZ
Legal business name
RSS LAWRENCE EMMOTT LLC
Practice address
1912 E Medlock Dr
Phoenix, AZ 85016-4127
Phone
(866) 500-4985
NPI assigned
Oct 3, 2017
Last updated
Oct 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Lawrence Emmott, DDSNPI 1366622987
Title
Owner
Phone
(866) 500-4985

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
Dentist 122300000X DO2275 AZ Primary

Addresses

Primary practice location

1912 E Medlock Dr
Phoenix, AZ 85016-4127

Mailing address

1050 Texan TRL Ste 300
Grapevine, TX 76051-3759

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": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1275043473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 TEXAN TRL STE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 E MEDLOCK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164127",
            "telephone_number": "866-500-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSS LAWRENCE EMMOTT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "EMMOTT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-500-4985",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "DO2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.