Individual provider Active NPI

Marion Lawrence Larragoite, DDS

  • Prosthodontics
  • Santa Fe, NM
National Provider Identifier
1659574176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
NM1724 Issued in NM
Practice address
2904 Rodeo Park Dr E
Suite 400-B
Santa Fe, NM 87505-6305
Phone
(505) 983-3484
Fax
(505) 424-0338
NPI assigned
Jun 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X NM1724 NM Primary

Addresses

Primary practice location

2904 Rodeo Park Dr E
Suite 400-B
Santa Fe, NM 87505-6305

Mailing address

2904 Rodeo Park Dr E
Suite 400-B
Santa Fe, NM 87505-6305
Phone (505) 983-3484

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
NM1724NMMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659574176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 RODEO PARK DR E",
            "address_2": "SUITE 400-B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056305",
            "telephone_number": "505-983-3484",
            "fax_number": "505-424-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 RODEO PARK DR E",
            "address_2": "SUITE 400-B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056305",
            "telephone_number": "505-983-3484",
            "fax_number": "505-424-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRAGOITE",
        "first_name": "MARION",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NM",
            "license": "NM1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.