Active NPI
Cameron C Larson, D.M.D
- Dentist
- El Paso, TX
National Provider Identifier
1740601137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29648
- Practice address
- 1502 N Zaragoza Rd
El Paso, TX 79936-7905 - Phone
- (915) 855-4442
- NPI assigned
- Jan 2, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 29648 | TX | Primary |
Addresses
Primary practice location
1502 N Zaragoza Rd
El Paso, TX 79936-7905
Mailing address
8151 E Indian Bend Rd
Ste. 111
Scottsdale, AZ 85250-4826
Phone (407) 607-9999
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 |
|---|---|---|---|
| 29648 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E. P. Dentistry 4 Kids 1, PLLC | 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.
-
- General Practice Dentistry
- El Paso, TX
- NPI 1184879579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1740601137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8151 E INDIAN BEND RD",
"address_2": "STE. 111",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504826",
"telephone_number": "407-607-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 N ZARAGOZA RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367905",
"telephone_number": "915-855-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CAMERON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-02",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.