Organization Active NPI

Craig G. Larson, DDS PLLC

  • Dental Clinic/Center
  • Longmont, CO
National Provider Identifier
1336770528
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CRAIG G. LARSON, DDS PLLC
Practice address
2051 Terry St Ste F
Longmont, CO 80501-1872
Phone
(303) 678-7232
Fax
(303) 678-7043
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Dr. Craig Larson, DDS
Title
Dentist/ Owner
Phone
(303) 678-7232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2051 Terry St Ste F
Longmont, CO 80501-1872

Mailing address

2051 Terry St Ste F
Longmont, CO 80501-1872
Phone (303) 678-7232

Other names 1

  • Larson Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2051 Terry St
Ste F
Longmont, CO 80501
Phone (303) 678-7232

Practitioners & affiliated clinicians

Practitioners 1

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1336770528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 TERRY ST STE F",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011872",
            "telephone_number": "303-678-7232",
            "fax_number": "303-678-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 TERRY ST STE F",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011872",
            "telephone_number": "303-678-7232",
            "fax_number": "303-678-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG G. LARSON, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "303-678-7232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.