NPIMap

Organization Active NPI

Kirk Larson DDS, Inc

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1447270939
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE036388 Issued in CA
Legal business name
KIRK LARSON DDS, INC
Doing business as
Smile with Style
Practice address
3261 N Harbor Blvd Ste a
Fullerton, CA 92835-1740
Phone
(714) 870-9445
Fax
(714) 870-9460
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Dr. Kirk B. Larson, DDSNPI 1669874863
Title
Dentist
Phone
(714) 870-9445

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE036388 CA Primary

Addresses

Primary practice location

3261 N Harbor Blvd Ste a
Fullerton, CA 92835-1740

Mailing address

3261 N Harbor Blvd Ste a
Fullerton, CA 92835-1740
Phone (714) 870-9445

Other names 1

  • Smile with Style Doing business as

National Provider Directory

National Provider Directory

Locations

3261 N Harbor Blvd
Ste A
Fullerton, CA 92835
Phone (714) 870-9445

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1447270939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 N HARBOR BLVD STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351740",
            "telephone_number": "714-870-9445",
            "fax_number": "714-870-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 N HARBOR BLVD STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351740",
            "telephone_number": "714-870-9445",
            "fax_number": "714-870-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK LARSON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-870-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DE036388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile with Style",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.