Individual provider Active NPI

Valerie Nicole Lapolla, D.D.S.

  • General Practice Dentistry
  • Espanola, NM
National Provider Identifier
1356401194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20479 Issued in OH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
28475054MedicaidNM

Other names 1

  • Dr. Vincent Nicholas Lapolla Former name

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

LicenseStateTypeSpecialty
20479OHMDGeneral 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.

Verify at the official NPI Registry.