Dennis P Larson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

509 E Waters Edge Dr
Belleville, IL 62221-7813

Phone

(618) 235-1510

Fax

(618) 235-1502

NPI assigned

Nov 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1003096140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E WATERS EDGE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217813",
            "telephone_number": "618-235-1510",
            "fax_number": "618-235-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E WATERS EDGE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217813",
            "telephone_number": "618-235-1510",
            "fax_number": "618-235-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DENNIS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lamport, OTR/L
• Megan J Land, FNP
• Lance L Lane, PA-C
• Che' Nicole Lang, PTA
• Erica Langenfeld
• Julia Ann Larue, RPH
• Laurie Baltz Counseling, LLC
• Louba Rodenko Laurie, MD
• Benjamin Joshua Laux Sr., D.C.
• Brittany Laux

• Internal Medicine Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.