NPIMap

Organization Active NPI

Tlararsen RDH, LLC

  • Dental Hygienist
  • Mount Pleasant, WI
National Provider Identifier
1386050086
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
9826-16 Issued in WI
Legal business name
TLARARSEN RDH, LLC
Practice address
6722 Green Ridge Dr
Mt Pleasant, WI 53406-5114
Phone
(262) 989-8949
NPI assigned
Jul 2, 2014
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Tanya Larsen, RDHNPI 1386050052
Title
Owner
Phone
(262) 989-8949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 9826-16 WI Primary

Addresses

Primary practice location

6722 Green Ridge Dr
Mt Pleasant, WI 53406-5114

Mailing address

6722 Green Ridge Dr
Mt Pleasant, WI 53406-5114
Phone (262) 989-8949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1386050086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 GREEN RIDGE DR",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534065114",
            "telephone_number": "262-989-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 GREEN RIDGE DR",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534065114",
            "telephone_number": "262-989-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLARARSEN RDH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-989-8949",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "9826-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.