Individual provider Active NPI

Larry J. Lavelett, D.D.S.

General Practice Dentistry
Norman, OK

National Provider Identifier

1487667093

Registry record updated May 14, 2008

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices1
NPI Registry JSON
Other providers in Norman, OK
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: General Practice DentistryTaxonomy code 1223G0001X
License: 4835 Issued in OK
Practice address: 443 12TH Ave. N.E.
Norman, OK 73071-5241
Phone: (405) 360-0018
Fax: (405) 360-1178
NPI assigned: Aug 14, 2006
Sex: Male
Sole proprietor: Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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
General Practice Dentistry	1223G0001X	4835	OK	Primary

Addresses

Primary practice location

443 12TH Ave. N.E.
Norman, OK 73071-5241

Mailing address

443 12TH Ave NE
Norman, OK 73071-5241
Phone (405) 360-0018

Other identifiers 50

Identifier	Type	Issuer
4835	Other	BLUE CROSS/BLUE SHIELD FEDERAL
4835	Other	NTCA
4835	Other	QUADMED
4835	Other	CENTRAL STATES FUNDS
4835	Other	DELTA DENTAL OF ILLINOIS
4835	Other	CSCS
4835	Other	METLIFE
4835	Other	DELTA DENTAL OF NEW JERSEY
4835	Other	GEHA
4835	Other	MUTUAL ASSURANCE
4835	Other	UNITED MEDICAL RESOURCES
4835	Other	AMERITAS
4835	Other	GREAT CORNERSTONE
4835	Other	GUARDIAN
4835	Other	PRINCIPAL
4835	Other	WATERSTONE
4835	Other	ASSURANT
4835	Other	MAILHANDLERS
4835	Other	DELTA DENTAL USA
4835	Other	AIG
4835	Other	OSMA
4835	Other	EMPLOYERS GROUP INSURANCE
4835	Other	KEMPTON GROUP ADMIN, INC.
4835	Other	UNICARE
4835	Other	FMH
4835	Other	FORTIS
4835	Other	TRISURANT
4835	Other	AMERICAN HEALTH GROUP, INC
4835	Other	BCBS OF ALABAMA
4835	Other	AETNA
4835	Other	CIGNA
4835	Other	DELTA DENTAL
4835	Other	HARRINGTON BENEFIT SERVICES
4835	Other	UNITED CONCORDIA
4835	Other	WASHINGTON DENTAL SERVICES
4835	Other	JEFFERSON PILOT
4835	Other	DELTA DENTAL OF ARKANSAS
4835	Other	DELTA DENTAL OF MISSOURI
4835	Other	DELTA DENTAL OF RI
4835	Other	DELTA DENTAL OF COLORADO
4835	Other	BCBS OF TX
4835	Other	BCBS OF ILLINOIS
4835	Other	BLUE CROSS/BLUE SHIELD
4835	Other	BENEFIT PLANNERS
4835	Other	UNITED HEALTHCARE
4835	Other	APWU
4835	Other	BROKERS NATIONAL LIFE
4835	Other	DELTA DENTAL OF CALIFORNIA
4835	Other	DELTA DENTAL OF PA
4835	Other	HUMANA DENTAL

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Not enrolled

State licenses

License	State	Type	Specialty
4835	OK	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
East Norman Dental	General Practice	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.

East Norman Dental
- General Practice Dentistry
- Norman, OK
- NPI 1790942431
NPD (past) Authorized official

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1487667093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 12TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715241",
            "telephone_number": "405-360-0018",
            "fax_number": "405-360-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 12TH AVE. N.E.",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715241",
            "telephone_number": "405-360-0018",
            "fax_number": "405-360-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELETT",
        "first_name": "LARRY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD FEDERAL",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NTCA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUADMED",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL STATES FUNDS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF ILLINOIS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSCS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METLIFE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF NEW JERSEY",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL ASSURANCE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MEDICAL RESOURCES",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERITAS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT CORNERSTONE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WATERSTONE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANT",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL USA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AIG",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSMA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYERS GROUP INSURANCE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEMPTON GROUP ADMIN, INC.",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMH",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORTIS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRISURANT",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH GROUP, INC",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRINGTON BENEFIT SERVICES",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DENTAL SERVICES",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEFFERSON PILOT",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF ARKANSAS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF MISSOURI",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF RI",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF COLORADO",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BENEFIT PLANNERS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BROKERS NATIONAL LIFE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CALIFORNIA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF PA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA DENTAL",
            "identifier": "4835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.