John Brent Larsen

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R022281 Issued in SD

Practice address

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000

Phone

(605) 232-3332

Fax

(605) 232-0854

NPI assigned

Jun 14, 2006

Sex

Male

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)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1760425128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SUNCOAST DR",
            "city": "MCCOOK LAKE",
            "state": "SD",
            "postal_code": "570494016",
            "telephone_number": "605-232-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495000",
            "telephone_number": "605-232-3332",
            "fax_number": "605-232-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JOHN",
        "middle_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R022281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Kruse, D.C.
• Cortni Layne Krusemark, OT
• Kunal K. Patra, M.D., P.C.
• Raymond Takashi Kuwahara, MD
• Shayla Lambert, DPT
• Amanda Lauer
• Jennifer Lauer, PT
• Chad R Laurich, MD
• Stephen Craig Liddiard, PA-C
• Tara Liddiard

• Certified Registered Nurse Anesthetist in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.