Active NPI
Larry D. Scarborough Jr.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Richmond, VA
National Provider Identifier
1740573526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401412495
- Practice address
- 7820 Shrader Rd
Richmond, VA 23294-4222 - Phone
- (804) 672-8607
- Fax
- (804) 672-8608
- NPI assigned
- May 26, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 0401412495 | VA | Primary |
Addresses
Primary practice location
7820 Shrader Rd
Richmond, VA 23294-4222
Mailing address
11167 Live Oak Cir
Midlothian, VA 23113-3101
Phone (703) 407-7667
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412495 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1740573526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11167 LIVE OAK CIR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231133101",
"telephone_number": "703-407-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7820 SHRADER RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944222",
"telephone_number": "804-672-8607",
"fax_number": "804-672-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBOROUGH",
"first_name": "LARRY",
"middle_name": "D.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401412495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.