Tucker Reed Larson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009713 Issued in AZ

Practice address

1093 Hancock Rd
Bullhead City, AZ 86442-5904

Phone

(928) 758-5588

NPI assigned

Jun 5, 2017

Sex

Male

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.

• Jennings-Larson Family Dentistry

  • General Practice Dentistry
  • Bullhead City, AZ
  • NPI 1427102839
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1548799406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 E MOUNTAIN VIEW LOOP",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269299",
            "telephone_number": "928-201-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 HANCOCK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425904",
            "telephone_number": "928-758-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TUCKER",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio C Landero, LISAC
• Sarah Louise Langguth, MSN, RN, APRN,FNP-BC
• Kirk Roland Larson, D.D.S.
• Kyle Marsh Larson, D.D.S.
• Tanner Christopher Larson, DMD
• Zack Larson, D.D.S.
• James Robert Lash, DO
• Norbert Carl Laskowski, R PH
• Barry H Latimer, CRNA
• James Patrick Lawrence, M.D.

• General Practice Dentistry in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.