DR. JULIO LARA D.D.S.
NPI 1114454915
Dentist - General Practice in Tampa, FL

Q: What is Julio Lara's NPI number?

The NPI number for Julio Lara is 1114454915. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Julio Lara's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Julio Lara was last updated on July 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2017PECOS Enrolled

302 W FLETCHER AVE, TAMPA, FL 33612(813) 397-5305 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 23, 2019, Jul 15, 2019, Nov 2, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Julio Lara D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIO LARA D.D.S. (NPI 1114454915) is an individual general practice provider in Tampa, Florida, licensed in Pennsylvania (DS041693) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1114454915

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JULIO LARACredential: D.D.S.

Location Address302 W FLETCHER AVETampa, FL 33612-3415

Mailing AddressPo Box 82969Tampa, FL 33682-2969 · (813) 866-0930 · Fax (813) 405-3722

Phone(813) 397-5305

Sole ProprietorYes

Enumeration DateMay 11, 2017

Last NPPES UpdateJuly 23, 20194 updates tracked since enumeration

✔ NPI 1114454915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS041693

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

302 W FLETCHER AVE, Tampa, FL 33612

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Secondary Practice Location 1

Location 1110 S 17th StHarrisburg, PA 17104-1123 · Phone (717) 232-9971 · Fax (717) 920-3039

Other Identifiers 1

Medicaid103549337-0001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Julio Lara D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMPA FAMILY HEALTH CENTERS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))