Active NPI
Larry R Fincher, D.D.S
- General Practice Dentistry
- Conway, AR
National Provider Identifier
1760563290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2440
- Practice address
- 4206 Hwy. 60
Conway, AR 72034-0016 - Phone
- (501) 336-8478
- Fax
- (501) 336-8478
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2440 | AR | Primary |
Addresses
Primary practice location
4206 Hwy. 60
Conway, AR 72034-0016
Mailing address
PO Box 10900
4206 Prince St.
Conway, AR 72034-0016
Phone (501) 336-8478
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 846613 | Other | PA | UNITED CONCORDIA |
| 58712 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2440 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760563290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10900",
"address_2": "4206 PRINCE ST.",
"city": "CONWAY",
"state": "AR",
"postal_code": "720340016",
"telephone_number": "501-336-8478",
"fax_number": "501-336-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4206 HWY. 60",
"city": "CONWAY",
"state": "AR",
"postal_code": "720340016",
"telephone_number": "501-336-8478",
"fax_number": "501-336-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCHER",
"first_name": "LARRY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "846613",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "58712",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.