Active NPI
Larry Wayne Cobb, D.M.D.
- Oral and Maxillofacial Pathology Dentistry
- Greenville, SC
National Provider Identifier
1831156777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 2165
- Practice address
- 2C Cleveland CT
Greenville, SC 29607-2414 - Phone
- (864) 271-9990
- Fax
- (864) 235-7959
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 2165 | SC | Primary |
Addresses
Primary practice location
2C Cleveland CT
Greenville, SC 29607-2414
Mailing address
2C Cleveland CT
Greenville, SC 29607-2414
Phone (864) 271-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z21655 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 9, 2016 through May 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2165 | SC | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831156777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2C CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-271-9990",
"fax_number": "864-235-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2C CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-271-9990",
"fax_number": "864-235-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "SC",
"license": "2165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z21655",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.