Samuel Larsen

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

D160946710 Issued in WA

Practice address

4403 Marlborough Ave
San Diego, CA 92116-4727

Phone

(952) 486-9759

NPI assigned

Jul 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nguyen DDS PS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1346360567
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1437776606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 50TH AVE NE UNIT 207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 MARLBOROUGH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164727",
            "telephone_number": "952-486-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160946710",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Valentine Larsen
• Janina Yvonne Yepes Larsen, MPH, MS, RD
• Jeffrey Kent Larsen, M.A. MFT
• Jennifer Ann Larsen
• Michael Larsen
• Saturnina Larsen
• Steven Ray Larsen, O.D.
• Christopher Larson, M.D.
• Christopher Riley Larson
• Courtney Jeanne Larson

• Dental Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.