NPIMap

Individual provider Active NPI

Emilie Larrazabal, DMD

  • Dentist
  • Plymouth Meeting, PA
National Provider Identifier
1902934482
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS029997L Issued in PA
Practice address
120 W Germantown PK
Suite 225
Plymouth Meeting, PA 19462
Phone
(610) 825-4334
Fax
(610) 825-4747
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS029997L PA
Dentist 122300000X DS029997L PA Primary

Addresses

Primary practice location

120 W Germantown PK
Suite 225
Plymouth Meeting, PA 19462

Mailing address

120 W Germantown PK
Suite 225
Plymouth Meeting, PA 19462
Phone (610) 825-4334

Other names 1

  • Mrs. Emilie Valencia Other name

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

LicenseStateTypeSpecialty
DS029997LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Periodontics Periodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1902934482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PK",
            "address_2": "SUITE 225",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "19462",
            "telephone_number": "610-825-4334",
            "fax_number": "610-825-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PK",
            "address_2": "SUITE 225",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "19462",
            "telephone_number": "610-825-4334",
            "fax_number": "610-825-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRAZABAL",
        "first_name": "EMILIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS029997L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029997L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "VALENCIA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.