Individual provider Active NPI

Larry Tate McGary, DDS

  • General Practice Dentistry
  • Junction City, KS
National Provider Identifier
1174632236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KS6031 Issued in KS
Practice address
903 W 6TH St
Junction City, KS 66441-3228
Phone
(785) 238-3500
Fax
(785) 238-8323
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X KS6031 KS Primary

Addresses

Primary practice location

903 W 6TH St
Junction City, KS 66441-3228

Mailing address

PO Box 1085
Junction City, KS 66441-1085
Phone (785) 238-3500

Other identifiers 2

IdentifierTypeStateIssuer
421736OtherKSBLUE CROSS BLUE SHIELD
733311OtherKSUNITED CONCORDIA TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160202001263 KS Order and Referring Only - DentistPractitioner - Dentist 3678877289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS6031KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Dentistry General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174632236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664411085",
            "telephone_number": "785-238-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W 6TH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413228",
            "telephone_number": "785-238-3500",
            "fax_number": "785-238-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARY",
        "first_name": "LARRY",
        "middle_name": "TATE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS6031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "421736",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA TRICARE",
            "identifier": "733311",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

Verify at the official NPI Registry.