Organization Active NPI

Larry L Hemby

  • General Practice Dentistry
  • Southport, NC
National Provider Identifier
1710182365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4065 Issued in NC
Legal business name
LARRY L HEMBY
Practice address
621A N Fodale Ave
Southport, NC 28461-3550
Phone
(910) 457-5026
Fax
(910) 457-6207
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Lou Hemby, D.D.S.
Title
Dentist
Phone
(910) 457-5026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4065 NC Primary

Addresses

Primary practice location

621A N Fodale Ave
Southport, NC 28461-3550

Mailing address

621A N Fodale Ave
Southport, NC 28461-3550
Phone (910) 457-5026

Other identifiers 2

IdentifierTypeStateIssuer
8993776MedicaidNC
893776OtherNCOTHER

National Provider Directory

National Provider Directory

Locations

621A N Fodale Ave
Southport, NC 28461
Phone (910) 363-1695

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710182365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621A N FODALE AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613550",
            "telephone_number": "910-457-5026",
            "fax_number": "910-457-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621A N FODALE AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613550",
            "telephone_number": "910-457-5026",
            "fax_number": "910-457-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY L HEMBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEMBY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-457-5026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993776",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "893776",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.