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LARRY WHEELER C.PED
NPI 1104939156
Pedorthist in Lexington, KY

Active since August 16, 2006
371 SOUTHLAND DR, LEXINGTON, KY 40503(859) 266-0420(859) 266-0667 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry Wheeler C.ped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY WHEELER C.PED (NPI 1104939156) is an individual pedorthist provider in Lexington, Kentucky, licensed in Kentucky (111233) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104939156
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameLARRY WHEELERCredential: C.PED
Location Address371 SOUTHLAND DRLexington, KY 40503-1824
Mailing Address371 Southland DrLexington, KY 40503-1824 · (859) 266-0420 · Fax (859) 266-0667
Phone(859) 266-0420
Fax(859) 266-0667
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 21, 2016
✔ NPI 1104939156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
License✔ Licensed in KY · 111233
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
371 SOUTHLAND DR, Lexington, KY 40503
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Other Identifiers 8

Other208278527KY · Tricare
Other5939230001KY · Medicare Dme
Medicaid7100026770KY
Medicare PIN5939230001KY
Other208278527KY · Humana
Medicare NSC5939230001KY
Other000000519294KY · Anthem Bc/bs
Other5574649KY · Aetna

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDORTHIC SERVICES, LLC
Durable Medical Equipment & Medical Supplies
371 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 266-0420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Wheeler's NPI number?

The NPI number for Larry Wheeler is 1104939156. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Larry Wheeler located?

Larry Wheeler practices at 371 Southland Dr, Lexington, KY 40503. The listed phone number is (859) 266-0420.

What is Larry Wheeler's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Larry Wheeler was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.