Organization Active NPI

Larry Jacob Darr

  • Prosthetic/Orthotic Supplier
  • Thomasville, NC
National Provider Identifier
1669481081
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LARRY JACOB DARR
Doing business as
Darr's Bootery
Practice address
1033 Randolph St
Southgate Plaza
Thomasville, NC 27360-5785
Phone
(336) 472-7026
Fax
(336) 472-7062
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Larry J Darr
Title
Owner
Phone
(336) 472-7026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1033 Randolph St
Southgate Plaza
Thomasville, NC 27360-5785

Mailing address

1033 Randolph St
Southgate Plaza
Thomasville, NC 27360-5785
Phone (336) 472-7026

Other names 1

  • Darr's Bootery Doing business as

National Provider Directory

National Provider Directory

Locations

1033 Randolph St
Ste 30
Thomasville, NC 27360
Phone (336) 472-7026

1033 Randolph St
Ste 5
Thomasville, NC 27360
Phone (336) 472-7026

1033 Randolph St
Thomasville, NC 27360
Phone (336) 472-7026

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1669481081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 RANDOLPH ST",
            "address_2": "SOUTHGATE PLAZA",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605785",
            "telephone_number": "336-472-7026",
            "fax_number": "336-472-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 RANDOLPH ST",
            "address_2": "SOUTHGATE PLAZA",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605785",
            "telephone_number": "336-472-7026",
            "fax_number": "336-472-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY JACOB DARR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-472-7026"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darr's Bootery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.