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DR. LARRY K CRUEL DPM
NPI 1609996982
Podiatrist - Primary Podiatric Medicine in Jackson, MS

Active since March 30, 2007
4510 OFFICE PARK DR, JACKSON, MS 39206(601) 981-3001(601) 981-8999 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Larry K Cruel Dpm NPPES

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

DR. LARRY K CRUEL DPM (NPI 1609996982) is an individual primary podiatric medicine provider in Jackson, Mississippi, licensed in Mississippi (80152) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609996982
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. LARRY K CRUELCredential: DPM
Location Address4510 OFFICE PARK DRJackson, MS 39206-6016
Mailing Address4510 Office Park DrJackson, MS 39206-6016 · (601) 981-3001 · Fax (601) 981-8999
Phone(601) 981-3001
Fax(601) 981-8999
Sole ProprietorYes
Enumeration DateMarch 30, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1609996982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MS · 80152
4510 OFFICE PARK DR, Jackson, MS 39206
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Other Identifiers 2

Medicare ID-Type Unspecified480000115MS
Medicaid00120141MS

Other Providers at the Same Location NPPES 6

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

BLANCHE MAE BELL ARNP
Nurse Practitioner (Family)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (225) 433-3172
BELLA-ROUGE HEALTH CARE INC
Clinic/Center (Health Service)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (225) 433-3172
FONDREN HEALTH CLINIC
Clinic/Center (Primary Care)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (601) 624-3352
ON DEMAND MEDICAL TESTING II
Clinic/Center
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (601) 966-5601
ADVANCED FOOT CARE CENTER
Podiatrist (Primary Podiatric Medicine)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (601) 981-3001
INTERVENE ONE DIAGNOSTICS LLC
Clinical Medical Laboratory
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (662) 834-3432

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 Cruel's NPI number?

The NPI number for Larry Cruel is 1609996982. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Larry Cruel located?

Larry Cruel practices at 4510 Office Park Dr, Jackson, MS 39206. The listed phone number is (601) 981-3001.

What is Larry Cruel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Larry Cruel was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.