Active NPI
Caroline Larson, DMD
- Dentist
- Pompano Beach, FL
National Provider Identifier
1467977223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22800
- Practice address
- 2700 NE 14TH Street Cswy Ste 105
Pompano Beach, FL 33062-3561 - Phone
- (954) 941-2412
- NPI assigned
- Aug 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22800 | FL | Primary |
Addresses
Primary practice location
2700 NE 14TH Street Cswy Ste 105
Pompano Beach, FL 33062-3561
Mailing address
5811 Toscana Dr Apt 1537
Davie, FL 33314-3588
Phone (239) 887-0382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22800 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Thayil DMD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Pompano Beach, FL
- NPI 1881053247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502582400000",
"number": "1467977223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 TOSCANA DR APT 1537",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143588",
"telephone_number": "239-887-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NE 14TH STREET CSWY STE 105",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623561",
"telephone_number": "954-941-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CAROLINE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-13",
"last_updated": "2017-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "22800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.