Individual provider Active NPI

Cole Larimer, DMD

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1114814621
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012550 Issued in AZ
Practice address
1875 E Guadalupe Rd Ste C107
Tempe, AZ 85283-3287
Phone
(952) 715-7447
NPI assigned
Jun 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D012550 AZ Primary

Addresses

Primary practice location

1875 E Guadalupe Rd Ste C107
Tempe, AZ 85283-3287

Mailing address

1727 E Pecos Rd Apt 3043
Gilbert, AZ 85295-1872
Phone (952) 715-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20250905003227 AZ Order and Referring Only - DentistPractitioner - Dentist 6800398108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D012550AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1114814621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 E PECOS RD APT 3043",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951872",
            "telephone_number": "952-715-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 E GUADALUPE RD STE C107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833287",
            "telephone_number": "952-715-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIMER",
        "first_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.