Individual provider Active NPI

Larry Lon Sams

  • Massage Therapist
  • Seven Points, TX
National Provider Identifier
1558768192
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT120955 Issued in TX
Practice address
1005 E Cedar Creek Pkwy
Seven Points, TX 75143-8410
Phone
(903) 275-2455
Fax
(214) 594-8482
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT120955 TX Primary

Addresses

Primary practice location

1005 E Cedar Creek Pkwy
Seven Points, TX 75143-8410

Mailing address

1005 E Cedar Creek Pkwy
Seven Points, TX 75143-8410
Phone (903) 275-2455

Other names 1

  • Mr. Larry Lon Sams Professional name

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
MT120955TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1558768192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E CEDAR CREEK PKWY",
            "city": "SEVEN POINTS",
            "state": "TX",
            "postal_code": "751438410",
            "telephone_number": "903-275-2455",
            "fax_number": "214-594-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E CEDAR CREEK PKWY",
            "city": "SEVEN POINTS",
            "state": "TX",
            "postal_code": "751438410",
            "telephone_number": "903-275-2455",
            "fax_number": "214-594-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "LARRY",
        "middle_name": "LON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT120955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "SAMS",
            "middle_name": "LON",
            "prefix": "MR.",
            "credential": "L.M.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seven Points, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.