Individual provider Active NPI

Larry Don Powell, DDS

  • Prosthodontics
  • Hot Springs Village, AR
National Provider Identifier
1497976427
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
3282 Issued in AR
Practice address
110 Este Way
Suite a
Hot Springs Village, AR 71909
Phone
(501) 922-1045
Fax
(501) 922-6217
NPI assigned
May 1, 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
Prosthodontics 1223P0700X 3282 AR Primary

Addresses

Primary practice location

110 Este Way
Suite a
Hot Springs Village, AR 71909

Mailing address

110 Este Way
Suite a
Hot Springs Village, AR 71909
Phone (501) 922-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20231213000972 AR Order and Referring Only - DentistPractitioner - Dentist 4789983909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Dental PLLC PastSince Nov 30, 2025 Accepting new patients
Village Dental Center, PLLC PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497976427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ESTE WAY",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-922-1045",
            "fax_number": "501-922-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ESTE WAY",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-922-1045",
            "fax_number": "501-922-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LARRY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AR",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.