Daniel R Larsen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9844479-9921 Issued in UT

Practice address

181 N 1200 E
Lehi, UT 84043-2224

Phone

(801) 610-4460

NPI assigned

Aug 6, 2016

Sex

Male

Sole proprietor

No

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 UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1235683384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N 1200 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432224",
            "telephone_number": "801-610-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N 1200 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432224",
            "telephone_number": "801-610-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9844479-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Krupa, LMFT, SUDC
• Kiera Thayn Kuck, MFT
• Jeffry K Kupfer, CRNA
• Jamie Lyn Lange, MSN, APRN, PMHNP-BC
• Jamison George Langston
• Laura Parry, LCSW
• Robert Layten
• Cori Ann Lazarte
• Brandalyn Lazo, CSW
• Scott Allan Leatham, NP-C

• General Practice Dentistry in Lehi, UT
• Providers in Lehi, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.