Lara D. Bacchelli, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 22132 Issued in FL

Practice address

8754 E State Road 70 Ste 8752
Bradenton, FL 34202-3720

Phone

(941) 702-2229

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1740633718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8754 E STATE ROAD 70 STE 8752",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8754 E STATE ROAD 70 STE 8752",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023720",
            "telephone_number": "941-702-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHELLI",
        "first_name": "LARA",
        "middle_name": "D.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B-World Quality Care
• Nour Jamal Baba
• Michele Renee Babin, M.D.
• Jacob Babinec
• Lisa Lora Babler, PA-C
• Bach & Godofsky M D P a
• Gregory Harris Bach, M.D.
• Patricia Bach, PHD
• Back and Better Injury Center LLC
• Back Pain Institute of West Florida

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.