Bryce Alan Larson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019.030251 Issued in IL

Practice address

28377 Davis Pkwy Ste 609
Warrenville, IL 60555

Phone

(630) 836-8880

NPI assigned

Jul 8, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• John F. Davis, DDS LTD.

  • General Practice Dentistry
  • Park Ridge, IL
  • NPI 1982823316
  NPD (past)
• Thomas J. Delacey, D.D.S.

  • Dentist
  • Warrenville, IL
  • NPI 1801260310
  NPD (past)

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1245613249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S MITCHELL AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052516",
            "telephone_number": "847-508-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28377 DAVIS PKWY STE 609",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "60555",
            "telephone_number": "630-836-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Busse Hwy",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600682304",
            "country_code": "US",
            "telephone_number": "847-692-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "BRYCE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakefront Mso LLC
• Dorothy Merlinda Lamonica, MS, OTR/L
• Landmark Counseling & Mediation LLC
• Lauren Lapaz
• Rhonda G Lapoint, LCPC
• Mary Kay Larson, APN
• Sara Christine Laub, RPH
• Aye Zon Lazar
• Christopher Lee
• Daniel E Lee, PSYD

• Dentist in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.