Marc R Larson DDS Ms a Dental Corporation

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

Legal business name

MARC R LARSON DDS MS A DENTAL CORPORATION

Practice address

6886 Indiana Ave Ste C
Riverside, CA 92506-4218

Phone

(951) 546-4008

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Marc R Larson, DDSNPI 1356437354

Title

Authorized Official

Phone

(951) 546-4008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Larson, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Riverside, CA
  • NPI 1356437354
  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1437800620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6886 INDIANA AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 INDIANA AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064218",
            "telephone_number": "951-546-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC R LARSON DDS MS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "951-546-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mar, PSY.D.
• Ashley Hanomi Maranan, MA
• Alexis A Marantos, LVN
• Ashley Maranville, BA
• Nelson Javier Maravilla, CRNA
• Marcee Lynn Hirst
• Marcee Lynn Hirst
• Craig Alexander March, LPT38185
• Chelsie Marchesano
• Andrea Francesca Marcial, MS, ATC, NREMT

• Sleep Medicine (Family Medicine) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Sleep Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.