Lawrence A Puccinelli Jr., DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

42214 Issued in CA

Practice address

10363 Torre Ave Ste E
Cupertino, CA 95014-3236

Phone

(408) 252-1970

Fax

(408) 252-1904

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lawrence A Puccinelli Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1689844938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10363 TORRE AVE STE E",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143236",
            "telephone_number": "408-252-1970",
            "fax_number": "408-252-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10363 TORRE AVE STE E",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143236",
            "telephone_number": "408-252-1970",
            "fax_number": "408-252-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCINELLI",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "42214",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "20253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "PUCCINELLI",
            "middle_name": "A",
            "suffix": "SR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tina Prothro-Jones, PT
• Erin Prues, CMT
• Lou Prusa, D.D.S.
• PT in Motion
• Chunyu Pu, PH.D.
• Man Wai Pun
• Shue Pun
• Qi'S Clinic
• Shi Qiao
• Qisclinic Health Group

• Endodontics in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.