Larry W. Pampel D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

12006974 Issued in IN

Legal business name

LARRY W. PAMPEL D.D.S., INC.

Practice address

534 N Halleck St
Demotte, IN 46310-9553

Phone

(219) 987-5733

Fax

(219) 987-6162

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry Wayne Pampel, DDS

Title

Owner

Phone

(219) 987-5733

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1487922456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463100848",
            "telephone_number": "219-987-5733",
            "fax_number": "219-987-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N HALLECK ST",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463109553",
            "telephone_number": "219-987-5733",
            "fax_number": "219-987-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY W. PAMPEL D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "PAMPEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-987-5733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12006974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.