Robert Frank Larson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8472 Issued in MN

Practice address

201 4TH Ave NW
Roseau, MN 56751-1033

Phone

(218) 463-2553

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• J.M. Hallie Inc.

  dba Hallie Family Dentistry

  • General Practice Dentistry
  • Roseau, MN
  • NPI 1407557085
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952478489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 4TH AVE NW",
            "address_2": "PO BOX 70",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511033",
            "telephone_number": "218-463-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH AVE NW",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511033",
            "telephone_number": "218-463-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ROBERT",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyssa Jonsson, DO
• Blake Kalturnyk, M.D.
• Dana Colleen Kloeppner, MS, CCC-SLP
• Dana Landman
• Rachel Landman, FNP
• Morgan N Lefrooth
• Kelsey Leverington, DPT
• Lew a. Erickson, LTD (Family Chiropractic Center)
• Lifecare Medical Center
• Lifecare Medical Center

• General Practice Dentistry in Roseau, MN
• Providers in Roseau, MN by specialty
• General Practice Dentistry in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.