Organization Active NPI

Thomas H Larson DDS Inc

  • Dental Clinic/Center
  • Fresno, CA
National Provider Identifier
1578704169
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
25928 Issued in CA
Legal business name
THOMAS H LARSON DDS INC
Practice address
7780 N Fresno St
Suite 105
Fresno, CA 93720-2413
Phone
(559) 431-9701
Fax
(559) 431-9121
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Thomas Hartman Larson, DDS
Title
Pediatric Dentist, Owner
Phone
(559) 431-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 25928 CA Primary

Addresses

Primary practice location

7780 N Fresno St
Suite 105
Fresno, CA 93720-2413

Mailing address

7780 N Fresno St
Suite 105
Fresno, CA 93720-2413
Phone (559) 431-9701

Other identifiers 1

IdentifierTypeStateIssuer
B25928-01MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1578704169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 N FRESNO ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202413",
            "telephone_number": "559-431-9701",
            "fax_number": "559-431-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 N FRESNO ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202413",
            "telephone_number": "559-431-9701",
            "fax_number": "559-431-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H LARSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HARTMAN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST, OWNER",
        "authorized_official_telephone_number": "559-431-9701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "25928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B25928-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.