Organization Active NPI

Larry J Whiten

  • Customized Equipment (DME)
  • Toccoa, GA
National Provider Identifier
1194909028
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
332BC3200X Issued in GA
Legal business name
LARRY J WHITEN
Practice address
73 W Doyle St
Toccoa, GA 30577-1787
Phone
(706) 886-5309
Fax
(706) 282-0168
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Larry J Whiten
Title
Owner
Phone
(706) 886-5309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 332BC3200X GA Primary

Addresses

Primary practice location

73 W Doyle St
Toccoa, GA 30577-1787

Mailing address

73 W Doyle St
Toccoa, GA 30577-1787
Phone (706) 886-5309

National Provider Directory

National Provider Directory

Locations

73 W Doyle St
Toccoa, GA 30577
Phone (706) 886-5309

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1194909028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 W DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771787",
            "telephone_number": "706-886-5309",
            "fax_number": "706-282-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 W DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771787",
            "telephone_number": "706-886-5309",
            "fax_number": "706-282-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J WHITEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WHITEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-886-5309"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.