Llanell Vararaj Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LLANELL VARARAJ DENTAL INC

Doing business as

Ivory Dental Clinic

Practice address

102 South Walnut Avenue
Rippon, CA 95366

Phone

(209) 599-4176

Fax

(209) 599-4178

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Llanell Vararaj, DDS

Title

Dentist

Phone

(209) 599-4176

Specialties & licenses 1

Addresses

Other names 1

• Ivory Dental Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Joseph Sarkis, DDS

  • Dentist
  • Ripon, CA
  • NPI 1124457403
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1760036305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SOUTH WALNUT AVENUE",
            "city": "RIPPON",
            "state": "CA",
            "postal_code": "95366",
            "telephone_number": "209-599-4176",
            "fax_number": "209-599-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTH WALNUT AVENUE",
            "city": "RIPPON",
            "state": "CA",
            "postal_code": "95366",
            "telephone_number": "209-599-4176",
            "fax_number": "209-599-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANELL VARARAJ DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "VARARAJ",
        "authorized_official_first_name": "LLANELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-599-4176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivory Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.