Todd S Larsen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

360817-9922 Issued in UT

Practice address

8915 S 700 E Ste 103
Sandy, UT 84070-2421

Phone

(801) 562-2147

Fax

(801) 569-1795

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Todd S. Larsen, DMD, PC

  • General Practice Dentistry
  • Sandy, UT
  • NPI 1245618099
  NPD Authorized official
• Fort Union Family Dental, P.C

  • General Practice Dentistry
  • Midvale, UT
  • NPI 1467744029
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1598890063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 S 700 E STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702421",
            "telephone_number": "801-562-2147",
            "fax_number": "801-569-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 S 700 E STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702421",
            "telephone_number": "801-562-2147",
            "fax_number": "801-569-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "TODD",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014721",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "360817-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Paul Larsen, D.D.S.
• Jo Ann Larsen, DSW
• Kenneth S Larsen, MD
• Rachel Larsen
• Ronald Axel Larsen, M.D.
• Thomas Laskowski, LCSW
• Erron Dajuan Latimore Sr., LCPC
• Victoria Laupata
• Lauren Co Therapy PLLC
• Rebecca Beth Laws, CSAC

• Dentist in Sandy, UT
• Providers in Sandy, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.