Individual provider Active NPI

Lora Pacha Gaxiola, D.M.D

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1376791897
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5658 Issued in AL
Practice address
194 Narrows Dr
Suite 105
Birmingham, AL 35242-8667
Phone
(205) 981-2994
Fax
(205) 981-2961
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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 5658 AL Primary

Addresses

Primary practice location

194 Narrows Dr
Suite 105
Birmingham, AL 35242-8667

Mailing address

194 Narrows Dr
Suite 105
Birmingham, AL 35242-8667
Phone (205) 981-2994

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
5658ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lora Gaxiola DMD Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1376791897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 NARROWS DR",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428667",
            "telephone_number": "205-981-2994",
            "fax_number": "205-981-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 NARROWS DR",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428667",
            "telephone_number": "205-981-2994",
            "fax_number": "205-981-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAXIOLA",
        "first_name": "LORA",
        "middle_name": "PACHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.