Individual provider Active NPI

Larry Carlton Downs, DDS

  • General Practice Dentistry
  • Booneville, MS
National Provider Identifier
1740388446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2939-96 Issued in MS
Practice address
400 S Second St
Booneville, MS 38829-4311
Phone
(662) 728-1999
Fax
(662) 728-2056
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2939-96 MS Primary

Addresses

Primary practice location

400 S Second St
Booneville, MS 38829-4311

Mailing address

400 S Second St
Booneville, MS 38829-4311
Phone (662) 728-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222001375 MS Order and Referring Only - DentistPractitioner - Dentist 0244535755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downs Family Dentistry CurrentSince Sep 5, 2021 Accepting new patients

Locations

400 S Second St
Booneville, MS 38829
Phone (662) 416-1859

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740388446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SECOND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388294311",
            "telephone_number": "662-728-1999",
            "fax_number": "662-728-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SECOND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388294311",
            "telephone_number": "662-728-1999",
            "fax_number": "662-728-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "LARRY",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2939-96",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.