Individual provider Active NPI

Donald C Larcher, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sylva, NC
National Provider Identifier
1124236815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6239 Issued in NC
Practice address
37 Medical Park Loop
Suite 102
Sylva, NC 28779-5289
Phone
(828) 586-7640
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6239 NC Primary

Addresses

Primary practice location

37 Medical Park Loop
Suite 102
Sylva, NC 28779-5289

Mailing address

37 Medical Park Loop
Suite 102
Sylva, NC 28779-5289
Phone (828) 586-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215000269 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254632342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6239NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124236815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MEDICAL PARK LOOP",
            "address_2": "SUITE 102",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795289",
            "telephone_number": "828-586-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MEDICAL PARK LOOP",
            "address_2": "SUITE 102",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795289",
            "telephone_number": "828-586-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARCHER",
        "first_name": "DONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "6239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.