Christopher C Larsen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

3637 Avenue of the Cities
Ste 302
Moline, IL 61265-4453

Phone

(309) 757-1065

Fax

(309) 757-1068

NPI assigned

Sep 7, 2005

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821082884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 AVENUE OF THE CITIES",
            "address_2": "STE 302",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654453",
            "telephone_number": "309-757-1065",
            "fax_number": "309-757-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 AVENUE OF THE CITIES",
            "address_2": "STE 302",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654453",
            "telephone_number": "309-757-1065",
            "fax_number": "309-757-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayonte Lagrone
• Lai See Lam, MD
• Scott Alan Lamb, PTA
• Laurie A Lance
• Paul Lappin
• Sharon C Lash, PSY.D.
• Loresa Latham
• Nancy J Lavin, SLP
• Steven J Layer, P.T.
• Lexis Leach, APRN

• General Practice Dentistry in Moline, IL
• Providers in Moline, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.