Active NPI
Larisa Turkenich, DMD
- Dentist
- Lowell, MA
National Provider Identifier
1912927427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19864
- Practice address
- 850 Chelmsford Street
Lowell, MA 01851 - Phone
- (978) 459-6467
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19864 | MA | Primary |
Addresses
Primary practice location
850 Chelmsford Street
Lowell, MA 01851
Mailing address
90 Emerson Gardens
Lexington, MA 02040
Phone (781) 862-1785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609002063 | MA | Order and Referring Only - Other (Physician) | 8921398587 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19864 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1912927427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 EMERSON GARDENS",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02040",
"telephone_number": "781-862-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 CHELMSFORD STREET",
"city": "LOWELL",
"state": "MA",
"postal_code": "01851",
"telephone_number": "978-459-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURKENICH",
"first_name": "LARISA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "19864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.