Renee Larson, ADT

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT53 Issued in MN

Practice address

401 Jewett St
Marshall, MN 56258-2605

Phone

(507) 532-3104

NPI assigned

Apr 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• David Burrichter, DDS, PLLC

  • General Practice Dentistry
  • Montevideo, MN
  • NPI 1154972503
  NPD (past)
• Johnson Family Dental Care LLC

  • General Practice Dentistry
  • Marshall, MN
  • NPI 1750651527
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1467985010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582605",
            "telephone_number": "507-532-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582605",
            "telephone_number": "507-532-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT53",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Lang, D.O.
• Vincent D Laporte, MD
• Andrew Larsen
• Heidi Larsen, CCC-SLP
• Michael A Larson, LICSW
• Timothy L Larson, PA-C
• Lastine Chiropractic PC
• Anna Josephine Latza-Oberster, OD
• Morgan Hoffbeck Lavoy
• Gregory Gayle Lecy, DDS

• All providers in Marshall, MN
• Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.