Active NPI
Valerie Nicole Lapolla, D.D.S.
- General Practice Dentistry
- Espanola, NM
National Provider Identifier
1356401194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20479
- Practice address
- RR 5 Box 446
Santa Clara Health Center
Espanola, NM 87532-8908 - Phone
- (505) 753-9421
- Fax
- (505) 753-5039
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20479 | OH | Primary |
Addresses
Primary practice location
RR 5 Box 446
Santa Clara Health Center
Espanola, NM 87532-8908
Mailing address
RR 5 Box 446
Santa Clara Health Center
Espanola, NM 87532-8908
Phone (505) 753-9421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28475054 | Medicaid | NM |
Other names 1
- Dr. Vincent Nicholas Lapolla
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20479 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356401194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 5 BOX 446",
"address_2": "SANTA CLARA HEALTH CENTER",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875328908",
"telephone_number": "505-753-9421",
"fax_number": "505-753-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 5 BOX 446",
"address_2": "SANTA CLARA HEALTH CENTER",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875328908",
"telephone_number": "505-753-9421",
"fax_number": "505-753-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPOLLA",
"first_name": "VALERIE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "20479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28475054",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VINCENT",
"last_name": "LAPOLLA",
"middle_name": "NICHOLAS",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Espanola, NM
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.