DR. RICKY LEE LARSON (NPI# 1255569927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255569927 |
| Entity Type | Individual |
| Full Name | DR. RICKY LEE LARSON |
| Credential | D.D.S. |
| Practice Address |
546 E Sandy Lake Rd Ste 240 Coppell TX 75019-5790 |
| Practice Telephone | 9723040489 |
| Practice Fax Number | 9727456799 |
| Mailing Telephone | 9723040489 |
| Mailing Fax Number | 9727456799 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
25396 | TX | Dental Providers |
| Street Address |
546 E SANDY LAKE RD STE 240 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-5790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| 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 |
|---|---|---|---|---|
| 1568918373 | Elise Pruett Dds Pllc | Dentist | 301 S Denton Tap Rd, Ste 110, Coppell, TX 75019 | 2016-08-31 |
| 1548617673 | Andrea Sauerwein | Dentist | 722 S Denton Tap Rd Ste 100, Coppell, TX 75019-4555 | 2016-05-18 |
| 1558791004 | Elise Elaine Pruett | Dentist | 301 S Denton Tap Rd Ste 110, Coppell, TX 75019-3287 | 2013-11-20 |
| 1861745853 | Herzog Coppell PC | Dentist | 143 S Denton Tap Rd, Suite 200, Coppell, TX 75019-3204 | 2012-10-16 |
| 1265787329 | Sanam Rohani Wright | Dentist | 110 W Sandy Lake Rd Ste 126, Coppell, TX 75019-2546 | 2012-07-16 |
| 1871876680 | Evergreen Dental P A | Dentist | 225 E State Highway 121 Ste 117, Coppell, TX 75019-2008 | 2011-09-28 |
| 1437455433 | Coppell Modern Dentistry, PC | Dentist | 230 N Denton Tap Rd Ste 115, Coppell, TX 75019-2134 | 2011-02-08 |
| 1174799498 | James S. Peterson, Dds, Pa | Dentist | 598 S Denton Tap Rd Ste 103, Coppell, TX 75019-4004 | 2008-05-06 |
| 1427267582 | Chaitra Erappa | Dentist | 858 Shorewood Dr, Coppell, TX 75019-5602 | 2007-05-22 |
| 1306064522 | Michael Hardcastle | Dentist | 761 S Macarthur Blvd, Ste 117, Coppell, TX 75019-4227 | 2007-04-23 |
| Find all providers in COPPELL | ||||
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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.