Larry P Urben, MS ATC LAT C PED

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3024 Issued in TX

Practice address

6842 Lebanon Rd
Suite 104
Frisco, TX 75034-7478

Phone

(972) 913-6684

Fax

(972) 767-3017

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1285698068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CARLTON CT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708789",
            "telephone_number": "214-725-6988",
            "fax_number": "972-767-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 LEBANON RD",
            "address_2": "SUITE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347478",
            "telephone_number": "972-913-6684",
            "fax_number": "972-767-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBEN",
        "first_name": "LARRY",
        "middle_name": "P",
        "credential": "MS ATC LAT C PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "TX",
            "license": "3204",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.