Active NPI
Larry Zhang, DDS
- Dentist
- Fort Polk, LA
National Provider Identifier
1578962866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30409
- Practice address
- 7223 Mississippi Avenue
Fort Polk, LA 71459 - Phone
- (726) 780-1103
- NPI assigned
- Aug 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30409 | TX | Primary |
Addresses
Primary practice location
7223 Mississippi Avenue
Fort Polk, LA 71459
Mailing address
7223 Mississippi Ave
Fort Polk, LA 71459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260529002575 | TX | Order and Referring Only - Dentist | 1254801343 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1578962866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 MISSISSIPPI AVE",
"city": "FORT POLK",
"state": "LA",
"postal_code": "71459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7223 MISSISSIPPI AVENUE",
"city": "FORT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "726-780-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "LARRY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-22",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.