Active NPI
Benjamin Patrick Larrabee, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mesa, AZ
National Provider Identifier
1700840386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D6671
- Practice address
- 1810 S Crismon Rd
Suite 183
Mesa, AZ 85209-3717 - Phone
- (480) 357-4900
- Fax
- (480) 357-4904
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D6671 | AZ | Primary |
Addresses
Primary practice location
1810 S Crismon Rd
Suite 183
Mesa, AZ 85209-3717
Mailing address
1810 S Crismon Rd
Ste 183
Mesa, AZ 85209-3717
Phone (480) 357-4900
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6671 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bplarrabee Incorporated | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mesa, AZ
- NPI 1114022613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1700840386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 S CRISMON RD",
"address_2": "STE 183",
"city": "MESA",
"state": "AZ",
"postal_code": "852093717",
"telephone_number": "480-357-4900",
"fax_number": "480-357-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 S CRISMON RD",
"address_2": "SUITE 183",
"city": "MESA",
"state": "AZ",
"postal_code": "852093717",
"telephone_number": "480-357-4900",
"fax_number": "480-357-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRABEE",
"first_name": "BENJAMIN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "D6671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.