Larry Jack, DDS
NPI 1386982247 · Dentist · Leadville, CO
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larry Jack, DDS is a Dentist provider in Leadville, CO (NPI 1386982247).
Provider details
- NPI number
- 1386982247
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7752 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-27
- Last updated
- 2013-01-27
Frequently asked questions
- What is Larry Jack's NPI number?
- Larry Jack's National Provider Identifier (NPI) is 1386982247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Jack's specialty?
- Larry Jack is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Larry Jack located?
- Larry Jack's practice location on file with NPPES is 404 E 7th St, Leadville, CO 80461-3131.
- What is Larry Jack's phone number?
- The practice phone number listed in the NPPES registry for Larry Jack is (410) 980-5433.
- Does Larry Jack accept Medicare?
- Larry Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larry Jack's NPI active?
- Yes — Larry Jack's NPI (1386982247) is active in the NPPES registry as of the last update on 2013-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.