Amy L Larson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

4743 Issued in WI

Practice address

1400 Lombardi Ave
Suite 50
Green Bay, WI 54304-3922

Phone

(920) 498-8877

Fax

(920) 498-8941

NPI assigned

Mar 8, 2007

Sex

Female

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

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.

• Lombardi Dental LLC

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1164570891
  NPD (past)
• Lombardi Dental, LLC

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1720118854
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720119845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SPRING ST",
            "city": "SOBIESKI",
            "state": "WI",
            "postal_code": "541719717",
            "telephone_number": "920-826-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOMBARDI AVE",
            "address_2": "SUITE 50",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043922",
            "telephone_number": "920-498-8877",
            "fax_number": "920-498-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "4743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Larkey, CAPSW
• Brittany N Larscheid, LCSW, CSAC
• Laura A Larscheid, CFA
• Nicole Larscheid
• Natalie Eve Larsen
• Elizabeth Larson, RD
• Jaimee M Larson, PA-C
• Laurie Jean Larson, O.D.
• Natalie Larson
• Paula W Larson, LCSW

• Dental Hygienist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dental Hygienist in Wisconsin

• 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.