Active NPI
Brandon Robert Larkin, D.D.S
- Pediatric Dentistry
- Doral, FL
National Provider Identifier
1962822130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN21111
- Practice address
- 3601 NW 107TH Ave
Doral, FL 33178-4377 - Phone
- (786) 624-3672
- NPI assigned
- Apr 25, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN21111 | FL | Primary |
Addresses
Primary practice location
3601 NW 107TH Ave
Doral, FL 33178-4377
Mailing address
10446 Leann Dr
Clio, MI 48420-1961
Phone (810) 252-9078
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN21111 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1962822130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10446 LEANN DR",
"city": "CLIO",
"state": "MI",
"postal_code": "484201961",
"telephone_number": "810-252-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 NW 107TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331784377",
"telephone_number": "786-624-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "BRANDON",
"middle_name": "ROBERT",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-25",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN21111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.