Active NPI
Daniel Larscheid, DDS
- General Practice Dentistry
- Blaine, MN
National Provider Identifier
1689779282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11434
- Practice address
- 11806 Aberdeen St NE
150
Blaine, MN 55449-4736 - Phone
- (763) 786-1545
- Fax
- (763) 786-2939
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11434 | MN | Primary |
Addresses
Primary practice location
11806 Aberdeen St NE
150
Blaine, MN 55449-4736
Mailing address
11086 Aberdeen Street NE
150
Blaine, MN 55449
Phone (763) 786-1545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717670800 | Medicaid | MN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11434 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floss Dental | Current | Accepting new patients | |
| Campodonico Family & Cosmetic Dentistry PC | General Practice | Past | Accepting new patients |
| Killian & Milnar Dentistry PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Duluth, MN
- NPI 1851235014
-
- General Practice Dentistry
- Blaine, MN
- NPI 1104249259
-
- General Practice Dentistry
- Blaine, MN
- NPI 1376687103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689779282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11086 ABERDEEN STREET NE",
"address_2": "150",
"city": "BLAINE",
"state": "MN",
"postal_code": "55449",
"telephone_number": "763-786-1545",
"fax_number": "763-786-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11806 ABERDEEN ST NE",
"address_2": "150",
"city": "BLAINE",
"state": "MN",
"postal_code": "554494736",
"telephone_number": "763-786-1545",
"fax_number": "763-786-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSCHEID",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "11434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "717670800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.