Active NPI
Larry L Hemby
- General Practice Dentistry
- Southport, NC
National Provider Identifier
1710182365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4065
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8993776 | Medicaid | NC | |
| 893776 | Other | NC | OTHER |
National Provider Directory
National Provider DirectoryLocations
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.