NPIMap

Organization Active NPI

Todd S. Larsen, DMD, PC

  • General Practice Dentistry
  • Sandy, UT
National Provider Identifier
1245618099
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
360817-9922 Issued in UT
Legal business name
TODD S. LARSEN, DMD, PC
Practice address
8915 S 700 E Ste 103
Sandy, UT 84070-2421
Phone
(801) 562-2147
Fax
(801) 569-1795
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Todd S Larsen, DMDNPI 1598890063
Title
President
Phone
(801) 562-2147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 360817-9922 UT Primary

Addresses

Primary practice location

8915 S 700 E Ste 103
Sandy, UT 84070-2421

Mailing address

8915 S 700 E Ste 103
Sandy, UT 84070-2421
Phone (801) 562-2147

Other names 1

  • Fort Union Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8915 S 700 E
Ste 103
Sandy, UT 84070
Phone (801) 562-2147

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1245618099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 S 700 E STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702421",
            "telephone_number": "801-562-2147",
            "fax_number": "801-569-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 S 700 E STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702421",
            "telephone_number": "801-562-2147",
            "fax_number": "801-569-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD S. LARSEN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-562-2147",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "360817-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Union Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Union Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.