David C. Larson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

363586-1205 Issued in UT

Practice address

345 E Gateway Dr Ste 150
Heber City, UT 84032-4625

Phone

(435) 657-0101

Fax

(435) 315-3146

NPI assigned

Nov 22, 2005

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.larson.2@2587.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2587/brand/1/csg/21/fhir/r4

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.

• University of Utah Community Physicians Group

  dba Intensive Outpatient Clinic (Medical)

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1467241554
  Medicare reassignment
• Heber Valley Pediatric

  • Pediatrics Physician
  • Heber City, UT
  • NPI 1437529807
  NPD (past) Authorized official
• University of Utah Community Physicians Group

  dba UUHC - Redstone Center

  • Family Medicine Physician
  • Park City, UT
  • NPI 1053715763
  NPD
• University of Utah Community Physicians Group

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1124422126
  NPD
• University of Utah Community Physicians Group

  dba UUHC - Stansbury Health Center

  • Family Medicine Physician
  • Stansbury PK, UT
  • NPI 1497159107
  NPD
• Heber Valley Medical LLC

  • Pediatrics Physician
  • Heber City, UT
  • NPI 1114487717
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1356324511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E GATEWAY DR STE 150",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324625",
            "telephone_number": "435-657-0101",
            "fax_number": "435-315-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E GATEWAY DR STE 150",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324625",
            "telephone_number": "435-657-0101",
            "fax_number": "435-315-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "363586-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Elizabeth Kinsey
• Kintsugi Counseling, LLC
• Jaclyn Michelle Knight, FNP-C
• Anthony Edward Kren, LCSW
• Thomas Herald Lamb, PHARMD
• Peter S Leavitt, MD
• Brittny Lee, RN, BSN
• Lees Marketplace Inc (Lee's Marketplace-Heber City Pharmacy)
• Dania Shane Lees, MD
• Legacy Anesthesia LLC

• Pediatrics Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.