Larry W Loveridge, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00007618 Issued in WA

Practice address

1921 S Arthur St
Kennewick, WA 99338-7719

Phone

(509) 947-3861

Fax

(509) 735-9852

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Larry W Loveridge, DMD, PLLC

  • Clinic/Center
  • Kennewick, WA
  • NPI 1063666964
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427147404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S ARTHUR ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381856",
            "telephone_number": "509-947-3862",
            "fax_number": "509-735-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S ARTHUR ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993387719",
            "telephone_number": "509-947-3861",
            "fax_number": "509-735-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVERIDGE",
        "first_name": "LARRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00007618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023577",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036876",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSCIOUS SEDATION PERMIT",
            "identifier": "CS10000217",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas F Loree, LMHC
• Loren Krause, Crna
• Loren Stueckle O.D.,P.S.
• William Jeffrey Losey
• Michelle Diane Love, MA60311085
• Candace Lowe, RN
• Eric B Lowe, PA-C
• Kenneth Dwight Lowe III, PHARMD
• LTCC Kennewick Inc
• Irene G Luc, PT,DPT,OCS,NPS

• Pediatric Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.