Larry Edward Cole

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2991 Issued in WV

Practice address

RT 52 Main Street
Gilbert
Gilbert, WV 25621

Phone

(304) 664-8163

Fax

(304) 664-8193

NPI assigned

Nov 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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.

• Dr L E Cole DDS Inc

  • Dentist
  • Gilbert, WV
  • NPI 1508953159
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1265734347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1298",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "256211298",
            "telephone_number": "304-664-8163",
            "fax_number": "304-664-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 52 MAIN STREET",
            "address_2": "GILBERT",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "25621",
            "telephone_number": "304-664-8163",
            "fax_number": "304-664-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LARRY",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133824000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jowana Sue Blankenship
• Gary Ivan Brown, RPH
• Ruth Browning
• Carewell Pharmacy, LLC
• Ashley Nichole Carter
• Keisha Coleman
• Community Health Foundation
• Gary Lane Cunningham, R.PH.
• Sharon G Davis, FNP-BC
• Dr L E Cole DDS Inc

• All providers in Gilbert, WV
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.