Center for Colon and Rectal Diseases PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

12943 Issued in AZ

Legal business name

CENTER FOR COLON AND RECTAL DISEASES PLC

Practice address

1500 S Dobson Rd
Suite 313
Mesa, AZ 85202-4713

Phone

(480) 964-0707

Fax

(480) 464-0588

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Larson, M.D.

Title

Owner

Phone

(480) 964-0707

Specialties & licenses 1

Addresses

Other names 1

• DAVID M LARSON MD Other name

Locations

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1124273032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON ROAD",
            "address_2": "SUITE 313",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024713",
            "telephone_number": "480-964-0707",
            "fax_number": "480-464-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD",
            "address_2": "SUITE 313",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024713",
            "telephone_number": "480-964-0707",
            "fax_number": "480-464-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COLON AND RECTAL DISEASES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-964-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "12943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID M LARSON MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judith Celik, NP
• Destiny Dollie Celis
• Moises Celis
• Adnan Celjo, M.D.
• Delfina Ceniceros
• Center for Neurology and Sleep Medicine
• Center for Orthopedic Research and Education LLC
• Center for Orthopedic Research and Education, Inc
• Center for Orthopedic Research and Education, LLC
• Center for Orthopedic Research and Education, LLC

• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.