Larry C Cook

Primary specialty

Dental Laboratory TechnicianTaxonomy code 126900000X

Practice address

2914 Jerry St
Prescott, AZ 86301-7609

Phone

(928) 778-3571

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1730731928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 JERRY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017609",
            "telephone_number": "928-778-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 JERRY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017609",
            "telephone_number": "928-778-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "LARRY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lyn Congrove, LPC
• Connected Wellness LLC
• Virginia Lea Conner, EDD
• Erik Paul Contreras, MD
• Carol Jean Cook, LPC
• Mavis Taylor Cooper
• Robert Cooper
• Michelle Copeland, CPNP
• Misty Shalon Coplan, PHARMD
• Dana James Copland, RN

• Dental Laboratory Technician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dental Laboratory Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.