Active NPI
Edward Conness Larkin, DMD
- General Practice Dentistry
- West Brookfield, MA
National Provider Identifier
1063577484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12223
- Practice address
- 9 West Main St.
West Brookfield, MA 01585-0748 - Phone
- (508) 867-2777
- Fax
- (508) 867-2779
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12223 | MA | Primary |
Addresses
Primary practice location
9 West Main St.
West Brookfield, MA 01585-0748
Mailing address
PO Box 748
West Brookfield, MA 01585-0748
Phone (508) 867-2777
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12223 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1063577484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748",
"city": "WEST BROOKFIELD",
"state": "MA",
"postal_code": "015850748",
"telephone_number": "508-867-2777",
"fax_number": "508-867-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 WEST MAIN ST.",
"city": "WEST BROOKFIELD",
"state": "MA",
"postal_code": "015850748",
"telephone_number": "508-867-2777",
"fax_number": "508-867-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "EDWARD",
"middle_name": "CONNESS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "12223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Brookfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.