Larry Minoru Nakashima, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30233 Issued in CA

Practice address

7164 Keating Ave
Sebastopol, CA 95472-3741

Phone

(707) 823-1211

Fax

(707) 823-6262

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1982803342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7164 KEATING AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723741",
            "telephone_number": "707-823-1211",
            "fax_number": "707-823-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7164 KEATING AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723741",
            "telephone_number": "707-823-1211",
            "fax_number": "707-823-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASHIMA",
        "first_name": "LARRY",
        "middle_name": "MINORU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Muro Rodriguez
• David John Murphy, PHD
• Jessica Murphy
• Kalia Denise Mussetter, MPSSWMYBVZ
• Ellerie Nagy, N.D.
• Nataliya Vorobets Dental Corporation
• Anna Eraquin Nelson, ASW
• Nicholas Giardino PHD Psychology PC
• Kerry Niemann, RN
• North Coast Faculty Medical Group Inc

• General Practice Dentistry in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.

Verify at the official NPI Registry.