DR. MARK LARSEN (NPI# 1417110016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417110016 |
| Entity Type | Individual |
| Full Name | DR. MARK LARSEN |
| Credential | DMD |
| Practice Address |
3773 W Ina Rd Ste 180 Tucson AZ 85741-2292 |
| Mailing Address |
12979 N Desert Olive Dr Oro Valley AZ 85755-1860 |
| Practice Telephone | 5205798166 |
| Mailing Telephone | 5203449285 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7536 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043335078 | Mark William Larsen | Chiropractor | 7 N Wabash St, Peru, IN 46970-2224 | 2007-03-20 |
| 1396824934 | Mark Timothy Larsen | Counselor | 2003 East Main St., Lebanon, VA 24266 | 2006-11-03 |
| 1992894141 | Mark J Larsen | Radiology | 65 Loma Vista Dr, Orinda, CA 94563-2236 | 2006-10-12 |
| 1467051862 | Mark Todd Larsen Jr. | Occupational Therapist | 1000 Easton Rd Ste 207, Wyncote, PA 19095-2900 | 2020-10-19 |
| 1194363754 | Mark James Larsen | Acupuncturist | 3330 Eagle St, Anchorage, AK 99503-4146 | 2019-12-13 |
| 1689166266 | Mark Wayne Larsen | Nurse Practitioner | 901 Adams St, Afton, WY 83110-9621 | 2018-05-31 |
| 1447223078 | Mark Steven Larsen | Nurse Anesthetist, Certified Registered | 326 Washington St, Norwich, CT 06360-2740 | 2006-02-13 |
| Street Address |
3773 W INA RD STE 180 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| 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 |
|---|---|---|---|---|
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1285243907 | James Bryan Madril | Dentist | 1218 W Irvington Rd, Tucson, AZ 85714-1136 | 2020-07-28 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1366001430 | Carlos A Rodriguez | Dentist | 3208 E Fort Lowell Rd Ste 101, Tucson, AZ 85716-1625 | 2019-06-11 |
| 1619448859 | Marie Anne Robillard | Dentist | 1601 N Tucson Blvd Ste 24, Tucson, AZ 85716-3407 | 2018-12-16 |
| 1881180669 | Alexandra Trinidad Quiroz Martin | Dentist | 5445 N Kolb Rd Ste 205, Tucson, AZ 85750-0750 | 2018-07-05 |
| 1356871552 | Kirsten Linaker | Dentist | 2300 N Craycroft Rd Ste 3, Tucson, AZ 85712-2808 | 2017-06-19 |
| 1811427073 | Samip Patel | Dentist | 8160 S Houghton Rd Ste 130, Tucson, AZ 85747-9720 | 2017-06-19 |
| 1003353822 | Lenny W Arias Dds Pllc | Dentist | 4955 N Sabino Canyon Rd, Suite 103, Tucson, AZ 85750-6491 | 2017-01-31 |
| Find all providers in TUCSON | ||||
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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.