Larry Dayne Himebaugh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901008994 Issued in MI

Practice address

591 W Chicago St
Coldwater, MI 49036-9189

Phone

(517) 279-7900

NPI assigned

Apr 24, 2007

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1548489826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10269 ALLAMANDA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105215",
            "telephone_number": "561-495-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369189",
            "telephone_number": "517-279-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMEBAUGH",
        "first_name": "LARRY",
        "middle_name": "DAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901008994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Hessler
• April Marie Heuer, CMT
• Megan Hicks
• Christine A Hill-Melton, ED.D.
• Emily Hill
• Niki Louise Hinde, PT, DPT
• Heidi Ruth Hodshire
• Holicki Eye Centers, P.C.
• Holicki Optical Inc
• Joseph Peter Holicki, DO

• General Practice Dentistry in Coldwater, MI
• Providers in Coldwater, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.