Larry C Hargreaves, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4836 Issued in KS

Practice address

314 Neosho St
Burlington, KS 66839-1926

Phone

(620) 364-8414

Fax

(620) 364-8416

NPI assigned

Jul 19, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Larry C. Hargreaves, DDS

  • Dental Clinic/Center
  • Topeka, KS
  • NPI 1023130127
  NPD Authorized official
• Larry C. Hargreaves, DDS

  • Dental Clinic/Center
  • Burlington, KS
  • NPI 1114140225
  NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528087301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NEOSHO ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668391926",
            "telephone_number": "620-364-8414",
            "fax_number": "620-364-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NEOSHO ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668391926",
            "telephone_number": "620-364-8414",
            "fax_number": "620-364-8416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 SW 37th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666112624",
            "country_code": "US",
            "telephone_number": "785-783-7550",
            "fax_number": "785-783-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGREAVES",
        "first_name": "LARRY",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "4836",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096690B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096690",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Burlington, KS
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.