Kim F Larson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM F LARSON

Practice address

1632 Washington St NE
Minneapolis, MN 55413-1336

Phone

(612) 789-2853

Fax

(612) 789-9413

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan Marie Sodd

Title

Office Manager

Phone

(612) 789-2853

Specialties & licenses 1

Addresses

Other names 1

• Larson Dental Other name

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.

• Kim Frons Larson, DDS

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1043328107
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437267598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 WASHINGTON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131336",
            "telephone_number": "612-789-2853",
            "fax_number": "612-789-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 WASHINGTON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131336",
            "telephone_number": "612-789-2853",
            "fax_number": "612-789-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM F LARSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SODD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-789-2853",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larson Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Raye Killian, OTR
• Ginny Ann Kilpela, MSW, LGSW
• John Kilsdonk
• Sidney Marie Kiltie
• Nancy Angela Kilzer, PT
• Kim Tong Translation Service, Inc.
• Alexander Kim, PT, DPT
• Andrew H Kim, M.D.
• Charles X Kim, MD
• Elizabeth Nam Kim

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.