Jose Eduardo Lara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44205 Issued in CA

Practice address

1651 E Orangethorpe Ave
Placentia, CA 92870-6629

Phone

(714) 993-2768

Fax

(714) 993-2775

NPI assigned

Sep 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1669564563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E ORANGETHORPE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706629",
            "telephone_number": "714-993-2768",
            "fax_number": "714-993-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E ORANGETHORPE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706629",
            "telephone_number": "714-993-2768",
            "fax_number": "714-993-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "JOSE",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter B. Kwon, M.D.
• Jeanette Laakso, M.S., CCC-SLP
• Albert Lai, MD
• Lakeview Corporation
• Astrid Carolina Lanfray, BA
• Jose Luis Larios III
• Kaitlyn Janet Larrondo Gonzalez
• Lowell D. Larsen, P.T.
• Carmen Yue-Ki Lau
• Urvashi Iyer Lau, MS CCC-SLP

• General Practice Dentistry in Placentia, CA
• Providers in Placentia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.