Andrew Charles Larson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D012502 Issued in AZ

Practice address

2217 W Happy Valley Rd Ste 100
Phoenix, AZ 85085-1604

Phone

(623) 581-7031

NPI assigned

May 28, 2025

Last updated

May 28, 2025By 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

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

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.

• Norterra Dental Group and Orthodontics, LLP

  dba Norterra Dental Group and Orthodontics

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1861628992
  NPD (past)

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1215720479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W REDBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836253",
            "telephone_number": "480-639-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 W HAPPY VALLEY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851604",
            "telephone_number": "623-581-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Rodney Larsen
• Megan Larsen
• Michael Thorpe Larsen, M.D.
• Michelle R Larsen, D.V.M.
• Seth Harly Larsen, DO, ABFM, CSCS
• Christie Taylor Larson, MS CF SLP
• Eric B Larson, DMD
• Ian Michael Larson, PT, DPT
• Jeffrey R. Larson
• Jennifer Larson

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.