KEITH R LARSON DMD PC (NPI# 1093185118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093185118 |
| Entity Type | Organization |
| Organization Name | KEITH R LARSON DMD PC |
| Other Organization Name | APNEA AND SNORING |
| Practice Address |
17895 Nw Evergreen Pkwy 130 Beaverton OR 97006-7402 |
| Practice Telephone | 5037166712 |
| Practice Fax Number | 5035366617 |
| Mailing Telephone | 5037166712 |
| Mailing Fax Number | 5035366617 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2017-10-20 |
| Authorized Official Name | DR. KEITH RODNEY LARSON (OWNER) |
| Authorized Official Telephone | 5032920416 |
| Authorized Official Credential | DMD, PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
D4338 | OR | Suppliers |
| Other Name | Type Code |
|---|---|
| Apnea and Snoring | Doing Business As Name - Organization |
| Street Address |
17895 NW EVERGREEN PKWY 130 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571962 | Brian Michael Spangler | Dentist | 17895 Nw Evergreen Pkwy, Beaverton, OR 97006-7402 | 2005-07-11 |
| 1972878221 | Daniel & Esther Lee, Dds, PC | Dentist | 17895 Nw Evergreen Pkwy, Suite 150, Beaverton, OR 97006-7402 | 2012-03-20 |
| 1740262401 | Keith Rodney Larson | Dentist | 17895 Nw Evergreen Pkwy, Beaverton, OR 97006-7402 | 2005-11-17 |
| 1851399083 | David James Spangler | Dentist | 17895 Nw Evergreen Pkwy, Beaverton, OR 97006-7402 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003318965 | Norco Inc | Durable Medical Equipment & Medical Supplies | 2770 Sw Cedar Hills Blvd, Beaverton, OR 97005-1355 | 2018-03-06 |
| 1609177328 | Sorrento Construction, Inc | Durable Medical Equipment & Medical Supplies | 1345 Sw 158th Ave, Beaverton, OR 97006-6037 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1134777691 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 16016 Boones Ferry Rd Ste 101, Lake Oswego, OR 97035-4353 | 2019-08-28 |
| 1447757745 | Rss Dain Paxton LLC | Durable Medical Equipment & Medical Supplies | 9735 Sw Shady Ln Ste 201, Tigard, OR 97223-5481 | 2018-04-12 |
| 1467967372 | Samuel J Higdon Dds PC | Durable Medical Equipment & Medical Supplies | 2250 Nw Flanders St Ste 111, Portland, OR 97210-5409 | 2017-12-14 |
| 1508396326 | Orthopedic Toe Guard | Durable Medical Equipment & Medical Supplies | 611 Ocean Ave., Po Box100, Manzanita, OR 97130-0100 | 2017-06-14 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1982136073 | Jc Medical LLC | Durable Medical Equipment & Medical Supplies | 3553 Vista Heights Ln, Eugene, OR 97405-1260 | 2017-03-29 |
| 1740654466 | Boundless Assistive Technology, LLC | Durable Medical Equipment & Medical Supplies | 7490 Sw Bridgeport Rd, Portland, OR 97224 | 2015-11-18 |
| 1275912578 | Oregon Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 8301 Se 13th Ave, Portland, OR 97202-7101 | 2015-05-20 |
| 1467840306 | Mobility Access Options Nw, Inc. | Durable Medical Equipment & Medical Supplies | 155 E St, Independence, OR 97351-2410 | 2014-12-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.