Donald F Larson, ORTHODONTIST

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401008896 Issued in VA

Practice address

814 N Saint Asaph St
FL 2
Alexandria, VA 22314-1718

Phone

(703) 838-8998

Fax

(703) 838-2714

NPI assigned

May 31, 2005

Reactivated

Mar 27, 2006

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1083617435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N SAINT ASAPH ST",
            "address_2": "FL 2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141718",
            "telephone_number": "703-838-8998",
            "fax_number": "703-838-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N SAINT ASAPH ST",
            "address_2": "FL 2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141718",
            "telephone_number": "703-838-8998",
            "fax_number": "703-838-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DONALD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "ORTHODONTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-02-29",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Lanzaro, DDS
• Leigh Lapaglia
• Clark Anthony Laprelle II, PA-C
• Sylvia Amanda Larkin, M.D.
• Brandon Scott Larson-McGuire, BCBA
• Noel Laserna
• Lisa Lashuk, PSY.D., PH.D.
• Laurie Louise Laso
• Rashida Latef, LMSW
• Lauren S. Latham

• Orthodontics and Dentofacial Orthopedics Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.