Active NPI
Ann Elizabeth Larsen, RDH BS
- Dental Hygienist
- Wheat Ridge, CO
National Provider Identifier
1366040156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 000903174
- Practice address
- 4800 Tabor St
Wheat Ridge, CO 80033-2112 - Phone
- (303) 421-4161
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 000903174 | CO | Primary |
Addresses
Primary practice location
4800 Tabor St
Wheat Ridge, CO 80033-2112
Mailing address
1182 Camp Eden Rd
Golden, CO 80403-8630
Phone (303) 801-7569
Other names 1
- Ann Larsen
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000903174 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1366040156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 CAMP EDEN RD",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804038630",
"telephone_number": "303-801-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 TABOR ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332112",
"telephone_number": "303-421-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"credential": "RDH BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "000903174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "LARSEN",
"credential": "RDH BS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.