Earl R Larson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DTP813 Issued in FL

Practice address

4800 Lakewood Ranch Blvd
Lakewood Ranch, FL 34211-4953

Phone

(941) 962-6303

NPI assigned

Jul 21, 2006

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earl R. Larson, D.D.S., P.C.

  dba Wildhorse Dental

  • General Practice Dentistry
  • Chesterfield, MO
  • NPI 1992036495
  NPD (past) Authorized official
• Lake Erie College of Osteopathic Medicine

  dba LECOM School of Dental Medicine

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1912258872
  NPD (past)
• Dhaniele Miller DDS LLC

  dba Wildhorse Dental

  • Dental Clinic/Center
  • Chesterfield, MO
  • NPI 1083504591
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1831110253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LAKEWOOD RANCH BLVD",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114953",
            "telephone_number": "941-962-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LAKEWOOD RANCH BLVD",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114953",
            "telephone_number": "941-962-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "EARL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DTP813",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "013769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Rae Lambert
• Jessie Theresa Lapek, MSW, LCSW
• Jolene Laplaca, MA, BCBA
• Robyn Laporta, MA
• Shoshana Lapping
• Rose Hoang Le, D.M.D.
• Josephine Mary Leavy, O.T.
• Michael H. Leblond, PH.D., M.B.A,
• Keilani Yvonne Lebron
• Lee Health and Wellness, Inc (Phase 1 Chiropractic)

• Dentist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.