Individual provider Active NPI

David Richard Larson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1922448158
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
865 Issued in AZ
Practice address
10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536
Phone
(480) 697-4824
Fax
(480) 697-4825
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 865 AZ Primary

Addresses

Primary practice location

10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536

Mailing address

10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536
Phone (480) 697-4824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170804003405 AZ Practitioner - Podiatry 7719270263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Orthopedics LLCGroup PAC ID 7810365145, 12 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 225
Scottsdale, AZ 85258-4536
Phone (480) 697-4824

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Melanoma (skin cancer) excision1-10
Removal of tissue32
Removal of nail tissue1-10
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Az Orthopedics LLC CurrentSince Feb 28, 2023 Accepting new patients
Az Orthopedics LLC CurrentSince Feb 28, 2023 Accepting new patients
Neurosurgical Associates, LTD PastSince Sep 1, 2017 Accepting new patients

Locations

13660 N 94th Dr
Ste C4
Peoria, AZ 85381
Phone (480) 697-4824

10200 N 92nd St
Ste 225
Scottsdale, AZ 85258
Phone (480) 391-3885

10290 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 697-4824

Interoperability endpoints

  • Direct secure messaging: david.larson.1@27410.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1922448158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584536",
            "telephone_number": "480-697-4824",
            "fax_number": "480-697-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584536",
            "telephone_number": "480-697-4824",
            "fax_number": "480-697-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.