Laredo Zapata Dental and Orthodontics, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAREDO ZAPATA DENTAL AND ORTHODONTICS, PLLC

Practice address

100 E 15TH St
Fort Worth, TX 76102-6550

Phone

(817) 529-8181

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Saam Zarrabi, DDS

Title

Owner

Phone

(817) 529-8151

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Rodeo Bellaire Dental and Orthdontics, PLLC Former legal business name

Locations

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1720529431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 15TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 15TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026550",
            "telephone_number": "817-529-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO ZAPATA DENTAL AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "ZARRABI",
        "authorized_official_first_name": "SAAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-529-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419513",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419514",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419510",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419515",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419511",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodeo Bellaire Dental and Orthdontics, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eric Lara Garcia
• Fernan F Lara, MD
• Hayli Lara
• Rachel Nicole Lara, FNP
• Madison Paige Lardy, LCSW
• Monique Lareviere
• Jerome Morales Larez
• Alison Gail Large, PNP-AC
• Stephanie Large, NP
• Courtney Anne Larkin, FNP-C

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.