Larry Degroat,D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LARRY DEGROAT,D.D.S.,P.C.

Practice address

32100 Telegraph Rd Ste 102
Bingham Farms, MI 48025-2408

Phone

(248) 644-1216

Fax

(248) 644-1568

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Larry Degroat, D.D.S.NPI 1114947835

Title

Dentist

Phone

(248) 644-1216

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Degroat, DDS

  • General Practice Dentistry
  • Bingham Farms, MI
  • NPI 1114947835
  NPD (past) Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1659775054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD STE 102",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252408",
            "telephone_number": "248-644-1216",
            "fax_number": "248-644-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD STE 102",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252408",
            "telephone_number": "248-644-1216",
            "fax_number": "248-644-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY DEGROAT,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "DEGROAT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-644-1216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1114947835",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidra Ann Lambert Pinion, RBT
• Keesha Lane
• Kaylan Annette Lang Ray
• Gail Lapointe, CRNA
• Audrey Raye Laport
• Larry M Friedberg, PHD LLC
• Lea Lasak
• Acyre Lathon
• Marisa Leigh Lawrence
• Christyne Ella Lawson, M.D.

• General Practice Dentistry in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.