Ann J Larsen, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

14947 Issued in TX

Practice address

10350 Bandera Rd Ste 122
San Antonio, TX 78250-5616

Phone

(210) 256-9767

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

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.

• Texas Family Orthodontics, PLLC

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1659989515
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760406151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505616",
            "telephone_number": "210-256-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505616",
            "telephone_number": "210-256-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ANN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "14947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lance Laroque, CNIM
• Evangelina Larragoitiy
• Annalisa Larralde, MD
• Larry a Bulahao DPM PA
• Susan Marie Lars, RN
• Audrey Larsen
• Brian Lee Larsen, CNIM
• Todd S Larsen, PH.D.
• Abigail Ladera Larson, PTA
• Garrett William Larson, DMSC, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• 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.