Jennifer Lynn Larocque, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

46631 Issued in CA

Practice address

1855 San Miguel Dr
Suite 9
Walnut Creek, CA 94596-5279

Phone

(925) 937-7000

NPI assigned

Aug 19, 2007

Last updated

Aug 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennifer L. Bobroff Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187481600000",
    "number": "1417140971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAPLEWOOD DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945062032",
            "telephone_number": "925-330-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "SUITE 9",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965279",
            "telephone_number": "925-937-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCQUE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-19",
        "last_updated": "2007-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOBROFF",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alena D. Larios, DDS, MS
• Lucy Larkin, PT
• Sara Eskandari Larkin, M.D.
• Lori J. Larks, MFT
• Bernard Larner, MD
• Lauren Larrabure, MD
• Ariana Elizabeth Larrea
• T'Maro Larry-Crozier
• Ryan C Larscheid, M.D.
• Erin S Larson

• Pediatric Dentistry in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.