Active NPI
Larry D Akin, D.D.S., P.C.
- General Practice Dentistry
- Powell, WY
National Provider Identifier
1144358268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 849
- Practice address
- 175 N Bernard St
Powell, WY 82435-2617 - Phone
- (307) 754-3391
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 8, 2007
- 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 | 849 | WY | Primary |
Addresses
Primary practice location
175 N Bernard St
Powell, WY 82435-2617
Mailing address
175 N Bernard St
Powell, WY 82435-2617
Phone (307) 754-3391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001805075 | Other | WY | DEPT. OF EMPLOYMENT NUMBE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849 | WY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevor K. Gardner DMD LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144358268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N BERNARD ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824352617",
"telephone_number": "307-754-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N BERNARD ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824352617",
"telephone_number": "307-754-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKIN",
"first_name": "LARRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF EMPLOYMENT NUMBE",
"identifier": "0001805075",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.