Active NPI
Thayne R Larson, MD
- Urology Physician
- Scottsdale, AZ
National Provider Identifier
1245831379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 38181
- Practice address
- 11900 N 102ND St
Scottsdale, AZ 85260-5928 - Phone
- (480) 620-9650
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 38181 | AZ | Primary |
Addresses
Primary practice location
11900 N 102ND St
Scottsdale, AZ 85260-5928
Mailing address
11900 N 102ND St
Scottsdale, AZ 85260-5928
Phone (480) 620-9650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38181 | AZ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1245831379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 N 102ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605928",
"telephone_number": "480-620-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 N 102ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605928",
"telephone_number": "480-620-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "THAYNE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "38181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
- David Richard Larson, D.P.M.
- Diana Marie Larson
- Jeananne Larson, RN
- Marcia H Larson, R.D.
- Mary E. Larson, NP
- Jay Lance Lary, MA LAC NCC
- Lasala Medical LLC (Sunset Clinic)
- Laser Spine Institute LL Sole MBR (Spine DME Solutions LLC)
- Laser Spine Institute of Arizona, LLC
- Laser Spine Surgery Center of Arizona, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.