Individual provider Active NPI

Larry Wayne Lafever, D.D.S

  • General Practice Dentistry
  • Hermitage, TN
National Provider Identifier
1437299096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS4058 Issued in TN
Practice address
3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097
Phone
(615) 889-6415
Fax
(615) 889-5507
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS4058 TN Primary

Addresses

Primary practice location

3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097

Mailing address

3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097
Phone (615) 889-6415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS4058TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437299096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 LEBANON PIKE",
            "address_2": "SUITE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762097",
            "telephone_number": "615-889-6415",
            "fax_number": "615-889-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 LEBANON PIKE",
            "address_2": "SUITE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762097",
            "telephone_number": "615-889-6415",
            "fax_number": "615-889-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFEVER",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.