Aaron David Larsen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1278 Issued in WY

Practice address

925 Wbirch
Glenrock, WY 82637

Phone

(307) 436-8770

Fax

(307) 436-8771

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By the provider in NPPES

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

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casper Mountain Dental

  dba Glenrock Family Dental

  • General Practice Dentistry
  • Glenrock, WY
  • NPI 1922470293
  NPD (past) Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1033407531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2320",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826372320",
            "telephone_number": "307-436-8770",
            "fax_number": "307-436-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WBIRCH",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "82637",
            "telephone_number": "307-436-8770",
            "fax_number": "307-436-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenrock Hospital District (glenrock health center)
• Glenrock Hospital District (glenrock health center)
• Glenrock Hsopital District
• Elizabeth Mae Lacey, RESPITE PROVIDER
• Glenda S Lambert
• Andrea Lien
• Audrey Noelle Mathson, LCSW
• Memorial Hospital of Converse County (Oregon Trail Rural Health Clinic)
• Kathleen Meehan Murphy, DDS
• Ashley Oviedo-Lopez, FNP-BC

• General Practice Dentistry in Glenrock, WY
• Providers in Glenrock, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.