Craig G Larson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9168 Issued in CO

Practice address

3445 Penrose PL Ste 110
Boulder, CO 80301-1874

Phone

(303) 444-4166

NPI assigned

Mar 7, 2007

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)

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.

• S. Brown & Associates

  • General Practice Dentistry
  • Longmont, CO
  • NPI 1134384696
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1972633907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL STE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011874",
            "telephone_number": "303-444-4166",
            "fax_number": "303-444-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL STE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011874",
            "telephone_number": "303-444-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Terry St Ste F",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805011872",
            "country_code": "US",
            "telephone_number": "303-678-7232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CRAIG",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Lard
• Alison Larkin, L.C.S.W
• Vanessa Rochelle Larrick, M.S. O.T.
• Larry Eckstein, M.D., P.C.
• Andrew Larsen, BA, MLS, CHI, CMI
• Joyce Larson
• Megan Cronin Larson, LCSW
• Susan A Larson, M.D.
• Nancy Lasater, LCSW
• Abbie Lasky, LPC

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, 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 Oct 29, 2019; 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.