Bryan A Lara, D.D.S

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

P-183 Issued in LA

Practice address

110 Auston Woods Cir
Apt U
Easley, SC 29640-4301

Phone

(864) 243-7534

NPI assigned

Feb 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bryan A Lara Munoz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1831580620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192715",
            "telephone_number": "864-386-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AUSTON WOODS CIR",
            "address_2": "APT U",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296404301",
            "telephone_number": "864-243-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "BRYAN",
        "middle_name": "A",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-15",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "LA",
            "license": "P-183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "LARA MUNOZ",
            "middle_name": "A",
            "credential": "D.D.X",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laboratory Corporation of America Holdings
• Christopher Lacava, M.S., L.AC.
• Elizabeth Lacy, FNP
• Patricia A Landry, M.D.
• Gregory Heyward Langley, MD
• Lilika White Latson, M.D.
• Alexandra I Lautenschlaeger, RD
• Law Corporation (Metrolina Ambulance)
• Vickie Laws L Laws, FNP
• Anna Lee Leavitt, MD

• Prosthodontics in Easley, SC
• Providers in Easley, SC by specialty
• Prosthodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.