NPIMap

Organization Active NPI

Larry C. Hargreaves, DDS

  • Dental Clinic/Center
  • Burlington, KS
National Provider Identifier
1114140225
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LARRY C. HARGREAVES, DDS
Practice address
314 Neosho St
Burlington, KS 66839-1926
Phone
(620) 364-8414
Fax
(620) 364-8416
NPI assigned
Apr 10, 2007
Last updated
Oct 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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
(620) 364-8414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

314 Neosho St
Burlington, KS 66839-1926

Mailing address

314 Neosho St
Burlington, KS 66839-1926
Phone (620) 364-8414

Other practice location 1

1401 SW 37th St
Topeka, KS 66611-2624
Phone (785) 783-7550

Other identifiers 1

IdentifierTypeStateIssuer
100096690CMedicaidKS

National Provider Directory

National Provider Directory
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.

Locations

1401 SW 37th St
Topeka, KS 66611
Phone (785) 783-7550

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1114140225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NEOSHO ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668391926",
            "telephone_number": "620-364-8414",
            "fax_number": "620-364-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NEOSHO ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668391926",
            "telephone_number": "620-364-8414",
            "fax_number": "620-364-8416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 SW 37th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666112624",
            "country_code": "US",
            "telephone_number": "785-783-7550",
            "fax_number": "503-315-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LARRY C. HARGREAVES, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-10-18",
        "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": "620-364-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096690C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.