Jace Larson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19-105719 Issued in SD

Practice address

7220 W 41St St
Sioux Falls, SD 57106-6028

Phone

(605) 929-3634

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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": "1407454499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E 54TH ST APT 291",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571104473",
            "telephone_number": "605-929-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066028",
            "telephone_number": "605-929-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JACE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "SD",
            "license": "19-105719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jace.larson@lifescapesd.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "7220 W 41st St",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571066028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel L Larson, CRNA
• Elisabeth Eugenie Larson, RBT
• Elizabeth Anne Larson, EDD
• Eric A Larson, M.D.
• Georgia Larson, LN
• Julia Grace Larson, MS, LPC-MH, LAC
• Katie Elizabeth Larson, MD
• Kodi Larson, DC
• Lorilee C Larson, P.T.
• Matthew Daniel Larson, MD

• Behavior Technician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Behavior Technician in South Dakota

• 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.

Verify at the official NPI Registry.