Individual provider Active NPI

Eugenia Maria Alvarado Larrowe, DDS

  • Dentist
  • Galax, VA
National Provider Identifier
1316385370
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414063 Issued in VA
Practice address
1022 E Stuart Dr
Galax, VA 24333-2512
Phone
(276) 235-9494
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414063 VA Primary

Addresses

Primary practice location

1022 E Stuart Dr
Galax, VA 24333-2512

Mailing address

1022 E Stuart Dr
Galax, VA 24333-2512
Phone (276) 235-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20160129000369 VA Order and Referring Only - DentistPractitioner - Dentist 3870896590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401414063VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1316385370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332512",
            "telephone_number": "276-235-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332512",
            "telephone_number": "276-235-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARROWE",
        "first_name": "EUGENIA MARIA",
        "middle_name": "ALVARADO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.