Lewis C Larson, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN 7443 Issued in FL

Practice address

400 Celebration PL
A-260
Celebration, FL 34747-4970

Phone

(407) 566-2222

Fax

(407) 566-1650

NPI assigned

Mar 1, 2007

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.

• GBG Dental Solutions PLLC

  • Dentist
  • Celebration, FL
  • NPI 1154900801
  NPD (past)
• Platinum Dental Group PA

  • Dentist
  • Celebration, FL
  • NPI 1003947326
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619005790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 FRONT ST",
            "address_2": "#310",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474991",
            "telephone_number": "407-566-2222",
            "fax_number": "407-566-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL",
            "address_2": "A-260",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-566-2222",
            "fax_number": "407-566-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LEWIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 7443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery John Kuhn, MD
• Amelia Labonte, PA-C
• David Adam Lalli, D.O.
• Nicholas A Landers, ARNP
• Luella Sharon Laroche, LMHC
• Victoria Larson, MD
• Alexander Minh Hieu Le, PHARMD
• Derek Leaderer, M.D.
• Leavitt Medical Associates of Florida Inc
• Monica Leibacher, LMT, CST

• Periodontics in Celebration, FL
• Providers in Celebration, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.