Active NPI
Lawrence Fielding Emmott, DDS
- Dentist
- Phoenix, AZ
National Provider Identifier
1366622987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2275
- Practice address
- 727 E Bethany Home Rd
A-100
Phoenix, AZ 85014-2198 - Phone
- (602) 279-1641
- Fax
- (602) 279-1507
- NPI assigned
- Nov 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2275 | AZ | Primary |
Addresses
Primary practice location
727 E Bethany Home Rd
A-100
Phoenix, AZ 85014-2198
Mailing address
727 E Bethany Home Rd
A-100
Phoenix, AZ 85014-2198
Phone (602) 279-1641
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2275 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RSS Lawrence Emmott LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Phoenix, AZ
- NPI 1275043473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1366622987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 E BETHANY HOME RD",
"address_2": "A-100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142198",
"telephone_number": "602-279-1641",
"fax_number": "602-279-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 E BETHANY HOME RD",
"address_2": "A-100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142198",
"telephone_number": "602-279-1641",
"fax_number": "602-279-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMOTT",
"first_name": "LAWRENCE",
"middle_name": "FIELDING",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-12",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "2275",
"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 Nov 12, 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.