Larry C. Hargreaves, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4836 Issued in KS

Legal business name

LARRY C. HARGREAVES, DDS

Doing business as

Family Dentistry

Practice address

1401 SW 37TH St
Topeka, KS 66611-2369

Phone

(785) 266-3533

Fax

(785) 266-9227

NPI assigned

Apr 6, 2007

Reactivated

Nov 24, 2020

Last updated

Sep 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry C. Hargreaves, DDSNPI 1528087301

Title

Doctor

Phone

(785) 783-7550

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Dentistry Doing business as

Tax ID family

Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Larry C. Hargreaves, DDS

  • Dental Clinic/Center
  • Burlington, KS
  • NPI 1114140225
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry C Hargreaves, DDS

  • General Practice Dentistry
  • Burlington, KS
  • NPI 1528087301
  NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1023130127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW 37TH STREET",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112369",
            "telephone_number": "785-783-7550",
            "fax_number": "785-783-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW 37TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112369",
            "telephone_number": "785-266-3533",
            "fax_number": "785-266-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY C. HARGREAVES, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "deactivation_date": "2019-10-18",
        "reactivation_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "HARGREAVES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "785-783-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "4836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023130127",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102969",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1528087301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Patrick Lanning, OTR
• Ruben Luis Lara
• Erin Larkin, LMSW
• Matthew Dudley Larosh, D.C,
• Larre L Betsworth, DDS
• Larry E Harris OD
• Paula Ann Larsen
• Johanna Larson
• Kaylyn Lary
• Nathan Alexander Laskowski, DDS

• Dental Clinic/Center in Topeka, KS
• Providers in Topeka, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.