Larry Wendell McCoy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007334 Issued in VA

Practice address

907 Hethwood Blvd
Blacksburg, VA 24060-4210

Phone

(540) 552-4805

Fax

(540) 552-0129

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 14, 2015 through May 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326115361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 HETHWOOD BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604210",
            "telephone_number": "540-552-4805",
            "fax_number": "540-552-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HETHWOOD BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604210",
            "telephone_number": "540-552-4805",
            "fax_number": "540-552-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "LARRY",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany McCann, LPC
• Matthew Elias McCarthy, D.O.
• Catherine Gail McCollough, L.C.S.W.
• Jordan Brooke McCoy, FNP-C
• Kayla McCoy, LCSW
• Sarah Chaves McCoy, LPC
• Kathleen Ann McCutcheon, LPTA
• Erin E McDaniel, OT
• Martha Lelia McDaniel, OTR/L
• Elizabeth Amelia McDonald

• General Practice Dentistry in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.