MICHAEL JOE LARSON (NPI# 1093711848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093711848 |
| Entity Type | Individual |
| Full Name | MICHAEL JOE LARSON |
| Credential | D.D.S. |
| Practice Address |
30940 Stagecoach Blvd Ste E250 Evergreen CO 80439-7984 |
| Mailing Address |
27767 Whirlaway Trl Evergreen CO 80439-6463 |
| Practice Telephone | 3036746777 |
| Mailing Telephone | 3036748229 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
H-D-1-04331 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015172 | Michael Larson | Optometrist | 8906 Bob White Dr, Houston, TX 77074-7528 | 2015-06-16 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1518960087 | Michael J Larson | Orthopaedic Surgery | 360 East Main, Rexburg, ID 83440 | 2005-05-27 |
| 1235730292 | Michael Larson | Pharmacist | 2000 Orchard Rd, Montgomery, IL 60538-1028 | 2020-11-05 |
| 1902411903 | Michael S Larson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-09-15 |
| 1104455294 | Michael Larson | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-04-02 |
| 1801424544 | Michael J Larson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1829 | 2020-03-30 |
| 1417452376 | Michael Odell Larson | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2018-03-23 |
| 1154829497 | Michael A Larson | Social Worker | 1212 E College Dr, Marshall, MN 56258-2010 | 2018-01-31 |
| 1174054670 | Michael Edward Larson | Radiology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-03-26 |
| Street Address |
30940 STAGECOACH BLVD STE E250 |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439-7984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285954453 | Laboratory Corporation of America | Clinical Medical Laboratory | 30940 Stagecoach Blvd, Evergreen, CO 80439-7984 | 2010-06-10 |
| 1861714776 | Neil Mccutcheon | Physical Therapist | 30940 Stagecoach Blvd, E-210, Evergreen, CO 80439-7984 | 2010-02-18 |
| 1861714784 | M Plus Pilates, LLC | Rehabilitation Practitioner | 30940 Stagecoach Blvd, E-210, Evergreen, CO 80439-7984 | 2010-02-18 |
| 1174785612 | John Ruff May | Physical Therapist | 30940 Stagecoach Blvd, E-110, Evergreen, CO 80439-7984 | 2008-06-26 |
| 1033129168 | Kathleen May | Nurse Practitioner | 30940 Stagecoach Blvd, Ste #270 E, Evergreen, CO 80439-7984 | 2006-08-09 |
| 1225066111 | Theresa Ann Donati | Internal Medicine | 30940 Stagecoach Blvd, Ste 270e, Evergreen, CO 80439-7984 | 2006-06-29 |
| 1124066196 | Jeannine Beebe Rauch | Physical Therapist | 30940 Stagecoach Blvd, Suite E-110, Evergreen, CO 80439-7984 | 2006-06-03 |
| 1801849641 | Evergreen Physical Therapy Specialists, PC | Physical Therapist | 30940 Stagecoach Blvd, Suite E110, Evergreen, CO 80439 | 2006-05-19 |
| 1912951666 | Victor P. Kupfer | Physical Therapist | 30940 Stagecoach Blvd, Suite E110, Evergreen, CO 80439-7984 | 2006-05-19 |
| 1962469742 | Richard Lyle Staller | Family Medicine | 30940 Stagecoach Blvd, Suite E290, Evergreen, CO 80439-7984 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| Find all providers in zip 80439 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023249836 | Big Smiles Colorado PC | Dentist | 26926 Fern Gulch Rd, Evergreen, CO 80439-5633 | 2009-07-29 |
| 1316199268 | Kenneth Francis White | Dentist | 6273 Annapurna Dr, Evergreen, CO 80439-5332 | 2008-10-22 |
| 1962682567 | Gary Dante Rotolo | Dentist | 1232 Bergen Pkwy, Evergreen, CO 80439-9573 | 2007-11-12 |
| 1518181601 | Kenneth E. Levos, Dds, PC | Dentist | 28000 Meadow Dr Unit 107, Evergreen, CO 80439-8395 | 2007-04-12 |
| 1679691661 | Floyd Michael Cartwright | Dentist | 122 Court Street, Evergreen, AL 36401 | 2007-03-27 |
| 1538230081 | Karen Braun Kooken | Dentist | 32156 Castle Ct Ste 108, Evergreen, CO 80439-9500 | 2006-11-13 |
| 1336246818 | Richard W Wheeler | Dentist | 3540 Evergreen Pkwy, Evergreen, CO 80439-7707 | 2006-09-19 |
| 1710913017 | Thomas David Pond | Dentist | 29723 Troutdale Scenic Dr, Evergreen, CO 80439-7737 | 2006-06-25 |
| 1528024064 | Charles Richard Powell | Dentist | 28577 Buffalo Park Rd, Suite 260, Evergreen, CO 80439-7370 | 2006-04-24 |
| 1710410543 | Buffalo Park Dentistry | Dentist | 28577 Buffalo Park Rd, Ste260, Evergreen, CO 80439-7370 | 2017-04-08 |
| Find all providers in EVERGREEN | ||||
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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.