Gary a. Larsen, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

41749 Issued in CA

Legal business name

GARY A. LARSEN, DDS, INC.

Practice address

1275 W Shaw Ave Ste 110
Fresno, CA 93711-3710

Phone

(559) 226-6060

Fax

(559) 226-6062

NPI assigned

Jun 26, 2006

Last updated

Jan 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Allyn Larsen, D.D.S.NPI 1306268545

Title

Owner/Dentist

Phone

(559) 226-6060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Allyn Larsen, DDS

  • Dentist
  • Clovis, CA
  • NPI 1306268545
  Authorized official Same address or phone

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1720015068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 MORRIS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113437",
            "telephone_number": "559-322-9679",
            "fax_number": "559-226-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W SHAW AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113710",
            "telephone_number": "559-226-6060",
            "fax_number": "559-226-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A. LARSEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "559-226-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca H Garth-Nelson, LMFT
• Natalie Garvey-de Leon, M.A.
• Catherine Marie Garvey, M.S.
• Nathan Garvin, M.D.
• Frances Burns Garwick, NP
• Gary D. Zomalt, L. C. S. W., Inc. (3R Counseling & Consulting)
• Gary S. Cannyon Psychological Service Center
• Jacquelyne Marie Gary, LVN
• Garys All-Med Drugs Inc (Ivanhoe Medical Supply)
• Dora Eliza Garza-Chacon

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.