JEFFREY D LARSON (NPI# 1164435855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164435855 |
| Entity Type | Individual |
| Full Name | JEFFREY D LARSON |
| Credential | D.M.D., P.C. |
| Practice Address |
1211 S Kimball Ave Caldwell ID 83605-4626 |
| Practice Telephone | 2084542061 |
| Practice Fax Number | 2084596899 |
| Mailing Telephone | 2084542061 |
| Mailing Fax Number | 2084596899 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D3638 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699824177 | Jeffrey R. Larson | Preventive Medicine | 9250 N 32nd Pl, Phoenix, AZ 85028-4917 | 2007-01-10 |
| 1649353947 | Jeffrey J Larson | Neurological Surgery | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-10-23 |
| 1023575263 | Jeffrey Donald Larson | Counselor | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-02-25 |
| 1790269645 | Jeffrey Larson | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Chicago, IL 60611-2909 | 2018-09-17 |
| 1255864823 | Jeffrey Larson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2017-04-10 |
| 1144516097 | Jeffrey Donald Larson | Family Medicine | 14 Lake St, Oak Park, IL 60302-2606 | 2011-06-20 |
| 1578868527 | Jeffrey David Larson | Social Worker | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2011-01-24 |
| 1154657245 | Jeffrey Gerard Larson | Social Worker | 451 Dunham Rd, Suite 400, Saint Charles, IL 60174-1431 | 2009-10-23 |
| 1013166990 | Jeffrey A Larson | Urology | 2000 E Greenville St, Anderson, SC 29621-1580 | 2008-09-16 |
| 1326179177 | Jeffrey J Larson | Counselor | 18623 Vashon Hwy Sw, Vashon, WA 98070-5211 | 2007-03-07 |
| Street Address |
1211 S KIMBALL AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1366805491 | Daniel Richard Huffmire | Dentist | 4403 E Ustick Rd Ste 104, Caldwell, ID 83605-6843 | 2016-04-05 |
| 1073891461 | Ideal Dental | Dentist | 329 E Logan St, Caldwell, ID 83605-4863 | 2011-08-02 |
| 1013184928 | Michael Elassar | Dentist | 501 Bloomfield Ave, Suite 2e, Caldwell, NJ 07006-5427 | 2008-05-09 |
| 1104099118 | Christensen Dental Pllc | Dentist | 4111 Clock Tower Ave, Caldwell, ID 83607-5006 | 2008-04-10 |
| 1669683595 | L.layne Drgac | Dentist | 602 N Gray St, Caldwell, TX 77836-1111 | 2007-05-24 |
| 1518094697 | Edward E. Baker, D.d.s., P.a. | Dentist | 45 Smull Ave, Caldwell, NJ 07006-5001 | 2007-02-27 |
| 1407998271 | Patrick L Waite | Dentist | 4101 Clock Tower Ave, Caldwell, ID 83607 | 2007-02-12 |
| 1881748184 | William F Burns | Dentist | West Essex Dental Group, 110 Bloomfield Ave, Caldwell, NJ 07006-5336 | 2007-01-23 |
| 1003900861 | Essex Dental P.C. | Dentist | 155 Roseland Ave., Ste. 6, Caldwell, NJ 07006-5903 | 2006-10-03 |
| 1346351491 | Gmn Tri-county Cac, Inc. | Dentist | 606 West St, Caldwell, OH 43724-1229 | 2006-08-31 |
| Find all providers in CALDWELL | ||||
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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.