Organization Active NPI

Cheryl Larson, D.D.S. & Associates, PLLC

  • General Practice Dentistry
  • Ludington, MI
National Provider Identifier
1568072213
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHERYL LARSON, D.D.S. & ASSOCIATES, PLLC
Practice address
294 Nelson Rd
Ludington, MI 49431-1942
Phone
(231) 843-4255
Fax
(231) 425-3628
NPI assigned
Aug 7, 2020
Last updated
Aug 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Dr. Cheryl Larson, DDSNPI 1275697997
Title
Owner/Administrator
Phone
(231) 843-4255

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

294 Nelson Rd
Ludington, MI 49431-1942

Mailing address

294 Nelson Rd
Ludington, MI 49431-1942
Phone (231) 843-4255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1568072213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 NELSON RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311942",
            "telephone_number": "231-843-4255",
            "fax_number": "231-425-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 NELSON RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311942",
            "telephone_number": "231-843-4255",
            "fax_number": "231-425-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL LARSON, D.D.S. & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "231-843-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.