Individual provider Active NPI

Kelly Noelle Larkin, D.D.S.

  • General Practice Dentistry
  • Tulare, CA
National Provider Identifier
1952457913
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54921 Issued in CA
Practice address
1008 N Cherry St
Tulare, CA 93274-2212
Phone
(559) 684-4355
Fax
(559) 684-4357
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54921 CA Primary

Addresses

Primary practice location

1008 N Cherry St
Tulare, CA 93274-2212

Mailing address

1201 N Cherry St
Tulare, CA 93274-2233
Phone (559) 685-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160323001981 CA Practitioner - Dentist 5496052185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Feb 3, 2016 Accepting new patients
Family Healthcare Network CurrentSince Feb 3, 2016 Accepting new patients
Family Healthcare Network Current Accepting new patients

Locations

12586 Avenue 408
Orosi, CA 93647
Phone (559) 528-2804

1008 N Cherry St
Tulare, CA 93274
Phone (559) 688-5437

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • Direct secure messaging: kelly.larkin.p1@direct.altura.nextgenshare.com

Organizations & group practices 3

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1952457913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-685-4622",
            "fax_number": "559-686-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742212",
            "telephone_number": "559-684-4355",
            "fax_number": "559-684-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "KELLY",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.