David W Larsen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8813 Issued in CO

Practice address

1655 N 1St St
Grand Junction, CO 81501-2124

Phone

(970) 242-2717

Fax

(970) 242-3805

NPI assigned

Sep 5, 2006

Last updated

Feb 8, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1902908304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N 1ST ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012124",
            "telephone_number": "970-242-2717",
            "fax_number": "970-242-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N 1ST ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012124",
            "telephone_number": "970-242-2717",
            "fax_number": "970-242-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larchwood Health and Rehab LLC
• Larchwood Inns Inc
• Larkspur Anesthesia, LLC
• Larry D. Tice MD PC
• Brielle Elaine Larsen, R.N.
• Brooke Larson, PMHNP
• Connor Larson
• Danyelle Larson
• Judi L Larson, BSSW
• Julie A Larson, O.D.

• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.