Individual provider Active NPI

Michael Francis Larrimore, DMD

  • Dentist
  • Fort Lee, VA
National Provider Identifier
1992762249
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI 01872000 Issued in NJ
Practice address
2601 C Ave
US Army Dental Clinic Command
Fort Lee, VA 23801-1717
Phone
(804) 221-1893
Fax
(804) 734-9429
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI 01872000 NJ Primary

Addresses

Primary practice location

2601 C Ave
US Army Dental Clinic Command
Fort Lee, VA 23801-1717

Mailing address

2601 C Ave
US Army Dental Clinic Command
Fort Lee, VA 23801-1717
Phone (804) 221-1893

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
22DI 01872000NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1992762249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 C AVE",
            "address_2": "US ARMY DENTAL CLINIC COMMAND",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011717",
            "telephone_number": "804-221-1893",
            "fax_number": "804-734-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 C AVE",
            "address_2": "US ARMY DENTAL CLINIC COMMAND",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011717",
            "telephone_number": "804-221-1893",
            "fax_number": "804-734-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIMORE",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI 01872000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.