Individual provider Active NPI

David James Larson, DDS

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1619909926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006445 Issued in VA
Practice address
9327 Midlothian Tpke
Suite 1a
Richmond, VA 23235-4964
Phone
(804) 323-3944
Fax
(804) 323-6007
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401006445 VA Primary

Addresses

Primary practice location

9327 Midlothian Tpke
Suite 1a
Richmond, VA 23235-4964

Mailing address

9327 Midlothian Tpke
Suite 1a
Richmond, VA 23235-4964
Phone (804) 323-3944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401006445VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Larson and Roelofs Family Dentistry Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619909926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TPKE",
            "address_2": "SUITE 1A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354964",
            "telephone_number": "804-323-3944",
            "fax_number": "804-323-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TPKE",
            "address_2": "SUITE 1A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354964",
            "telephone_number": "804-323-3944",
            "fax_number": "804-323-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • 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.