Organization Active NPI

Larry E. McEntire, D.D.S., P. C.

  • General Practice Dentistry
  • Parker, AZ
National Provider Identifier
1316045834
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LARRY E. MCENTIRE, D.D.S., P. C.
Practice address
1220 W Arizona Ave
Parker, AZ 85344-5647
Phone
(928) 669-2573
Fax
(928) 669-5953
NPI assigned
Sep 20, 2006
Last updated
Sep 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Larry E. McEntire, D.D.S.
Title
President
Phone
(928) 669-2573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1220 W Arizona Ave
Parker, AZ 85344-5647

Mailing address

8813 Buffalo Cloud Ave
Las Vegas, NV 89143-5407
Phone (702) 655-2882

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1316045834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 BUFFALO CLOUD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891435407",
            "telephone_number": "702-655-2882",
            "fax_number": "702-655-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W ARIZONA AVE",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445647",
            "telephone_number": "928-669-2573",
            "fax_number": "928-669-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E. MCENTIRE, D.D.S., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-669-2573",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.