Individual provider Active NPI

David Eric Larson, FNP-C

  • Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1487381265
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
278676 Issued in AZ
Practice address
655 S Dobson Rd Ste 201
Chandler, AZ 85224
Phone
(480) 307-9477
Fax
(480) 389-1700
NPI assigned
Aug 2, 2022
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 278676 AZ Primary

Addresses

Primary practice location

655 S Dobson Rd Ste 201
Chandler, AZ 85224

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020

Other practice location 1

1142 W Dublin St
Chandler, AZ 85224-3598
Phone (480) 274-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209000620 AZ Practitioner - Nurse Practitioner 8325417587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

520 S Hill St
Globe, AZ 85501-2291
Phone (928) 425-8989

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Feb 1, 2024 Accepting new patients
Southwestern Eye Center LTD Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Feb 1, 2024 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Sun Life Family Health Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Feb 1, 2024 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Del Southwest Medical Consulting LLC CurrentSince May 7, 2024 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Feb 1, 2024 Accepting new patients

Locations (25 of 35)

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

6705 E McDowell Rd
Mesa, AZ 85215
Phone (480) 985-7400

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

Interoperability endpoints

  • Direct secure messaging: david.larson.p11@direct.avp.nextgenshare.com

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1487381265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD STE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-307-9477",
            "fax_number": "480-389-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1142 W Dublin St",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852243598",
            "country_code": "US",
            "telephone_number": "480-274-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DAVID",
        "middle_name": "ERIC",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "278676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.