Active NPI
Marc Larson, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Riverside, CA
National Provider Identifier
1356437354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 47275
- Practice address
- 6886 Indiana Ave Ste a
Riverside, CA 92506-4218 - Phone
- (951) 686-6410
- Fax
- (951) 680-1755
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 47275 | CA | Primary |
Addresses
Primary practice location
6886 Indiana Ave Ste a
Riverside, CA 92506-4218
Mailing address
6886 Indiana Ave Ste a
Riverside, CA 92506-4218
Phone (951) 686-6410
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@larsonortho.net | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47275 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant & Larson. a Professional Dental Corporation | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Marc R Larson DDS Ms a Dental Corporation | Current | Accepting new patients | |
| Chokka Dental Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
6886 Indiana Ave
Ste A
Riverside, CA 92506
Phone (951) 686-6410
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Larson Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Riverside, CA
- NPI 1245965797
-
- Sleep Medicine (Family Medicine) Physician
- Riverside, CA
- NPI 1437800620
-
dba Imperial Dental Practice
- Orthodontics and Dentofacial Orthopedics Dentistry
- Yucaipa, CA
- NPI 1639270234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1356437354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6886 INDIANA AVE STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064218",
"telephone_number": "951-686-6410",
"fax_number": "951-680-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6886 INDIANA AVE STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064218",
"telephone_number": "951-686-6410",
"fax_number": "951-680-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "47275",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@larsonortho.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6886 Indiana Ave Ste A",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925064218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.