Lori Larsen Melemseter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M906 Issued in SD

Practice address

3520 S Sheldon LN
Sioux Falls, SD 57105-6121

Phone

(605) 338-3577

Fax

(605) 338-5082

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lori Lynn Larsen Former name

Medicare fee-for-service enrollment

Enrolled in SD

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

State licenses

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.

• Larsen and Ehlers

  dba Park Center Dental Care

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1396054748
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1164510806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 S SHELDON LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056121",
            "telephone_number": "605-338-3577",
            "fax_number": "605-338-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 S SHELDON LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056121",
            "telephone_number": "605-338-3577",
            "fax_number": "605-338-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEMSETER",
        "first_name": "LORI",
        "middle_name": "LARSEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LARSEN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason L Meister, CRNA
• Jeremiah Mekelburg
• David Scott Melanson Jr.
• Tina M Melanson, M.D.
• Jill Marie Melby, CNP
• Grayden Thomas Melick
• Shane Stephen Meltz
• Rose Melvin, CNM
• Alyssa Sommer Mendel, LPC
• Dominique Marie Mendel

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.