David Basil Larcher, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6998 Issued in WA

Practice address

24401 104TH Ave SE
Suite 101
Kent, WA 98030-4903

Phone

(253) 850-8075

Fax

(253) 854-9673

NPI assigned

Feb 2, 2007

Sex

Male

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

Enrolled in WA

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 and National Provider Directory roles.

• David Larcher DDS

  • Oral and Maxillofacial Surgery Clinic/Center
  • Kent, WA
  • NPI 1700339751
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912045857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 104TH AVE SE",
            "address_2": "SUITE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304903",
            "telephone_number": "253-850-8075",
            "fax_number": "253-854-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 104TH AVE SE",
            "address_2": "SUITE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304903",
            "telephone_number": "253-850-8075",
            "fax_number": "253-854-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARCHER",
        "first_name": "DAVID",
        "middle_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "6998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duniya Aden Lang
• Camille Ruby Langdon
• Alysha Nicole Langlow, SLP
• Alona Mae P Lanoy-Hyde, PT
• Danielle Marie Lansang
• Marivel Nora Larreinaga
• Lukas Robert Lee Larson, SUDP/T
• Robert Larson, M.D.
• Heidi Malia Larsson, MA
• Dani-May Laskowski

• Oral and Maxillofacial Surgery (Dentist) in Kent, WA
• Providers in Kent, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• 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.
• 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.