Michael Larson, D.D.S., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

59059 Issued in CA

Practice address

1215 Plumas St Ste 500
Yuba City, CA 95991-3453

Phone

(530) 674-5047

NPI assigned

Dec 30, 2009

Last updated

Mar 8, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1316277197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST STE 500",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913453",
            "telephone_number": "530-674-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST STE 500",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913453",
            "telephone_number": "530-674-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MICHAEL",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "59059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Jerome Lancaster, MD
• Abigail Sy Landenberger, DO
• Lynn Lang, M.D
• Kristofer Langheinrich, MD
• Jose Lara
• Stacy M Lasater, P.A.
• Kimberly Rochelle Lassaga, ABOC
• Tonya Lathrop
• Agnes M Laurent, CMT
• Tina M Lavy, IBCLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.