SAMUEL LARSEN


Address: 1421 Nw 85th St, Seattle, WA 98117-4298
Phone: 2067890111

SAMUEL LARSEN (NPI# 1437776606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437776606
Entity Type Individual
Full Name SAMUEL LARSEN
Practice Address 1421 Nw 85th St
Seattle
WA 98117-4298
Mailing Address 5225 50th Ave Ne Unit 207
Seattle
WA 98105-2872
Practice Telephone 2067890111
Enumeration Date 2020-07-02
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant D160946710 WA Dental Providers

Office Location

Street Address 1421 NW 85TH ST
City SEATTLE
State WA
Zip Code 98117-4298

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730101791 Douglas Lester Ragee Dentist 1421 Nw 85th St, Seattle, WA 98117-4298 2006-07-25
1831727171 Nhi Minh Ho Dental Assistant 1421 Nw 85th St, Seattle, WA 98117-4298 2020-03-31
1114142072 James T Petersen Dentist 1421 Nw 85th St, Suite B, Seattle, WA 98117 2007-04-16
1346360567 Nguyen Dds Ps Dentist 1421 Nw 85th St, Seattle, WA 98117-4298 2007-03-30
1790804888 John M Davis Dentist 1421 Nw 85th St, Seattle, WA 98117-4298 2007-03-28
1851430136 Dzon Manh Nguyen Dentist 1421 Nw 85th St, Seattle, WA 98117-4298 2007-02-05
1851478341 Kristin Ann Johannsen Dentist 1421 Nw 85th St, Seattle, WA 98117-4298 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447882725 Banner Dental Dentist 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 2020-02-05
1114422045 Solar Acupuncture LLC Acupuncturist 9015 Holman Rd Nw Suite 1 Room 12, Seattle, WA 98117 2018-03-23
1033610621 Yijun Liang Acupuncturist 9015 Holman Rd Nw Suite 1,room 12, Seattle, WA 98117 2018-02-28
1205337235 Lily Jee-eun Rosenblum Student in an Organized Health Care Education/Training Program 7028 21st Ave Nw, Seattle, WA 98117 2018-02-25
1649782681 Functional Medicine Northwest Clinic/Center 8010 15th Ave Nw, Suite D, Seattle, WA 98117 2017-10-31
1558812578 Sarah J Harwood Counselor 8322 11th Ave Nw, Seattle, WA 98117 2016-10-14
1083085617 Hannah Gordon Naturopath 2038 Nw Market Street Zoomcare Ballard, Seattle, WA 98117 2015-10-08
1629322698 Aimee Therese Denver Registered Nurse 3023 Nw 72nd Street, Seattle, WA 98117 2012-10-30
1649523101 Drx Wa Urgent Care Providers, Pllc Clinic/Center 9000 Holman Road Nw, Suite A1, Seattle, WA 98117 2012-10-22
1922350248 Bodhi Tree LLC Chiropractor 2808-ii E Madison Street, Suite 203, Seattle, WA 98117 2012-10-10
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932726049 Usama Al Saedi Dental Assistant 1421 Nw 85th St Apt 110, Seattle, WA 98117-4298 2020-07-06
1316408578 Moises Cerecedo Rios Dental Assistant 512 5th Ave W Apt 6, Seattle, WA 98119-3944 2019-03-28
1760933899 Sarah Park Dental Assistant 4557 11th Ave Ne Apt C238, Seattle, WA 98105-0002 2016-10-24
1841640646 Jessica Jones Dental Assistant 10835 35th Ave Sw, Seattle, WA 98146-1728 2016-06-13
1033526579 Ghazal Karimi Assil Dental Assistant 668 S King St, Apt 529, Seattle, WA 98104 2014-07-16
1093142929 Edward G. Sutter Dds Dental Assistant 1422 Seneca St, Seattle, WA 98101-2830 2013-10-09
1831727171 Nhi Minh Ho Dental Assistant 1421 Nw 85th St, Seattle, WA 98117-4298 2020-03-31
1922646819 June F Lacey Dental Assistant 1519 Alaskan Way S, Seattle, WA 98134-1102 2019-12-11
1346679784 Amber Langolf Dental Assistant 509 Olive Way, Suite 1633, Seattle, WA 98101-1720 2013-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134739881 Bryonna Floyd Dental Assistant 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 2020-08-07
1881224806 James Eric Carvelli Dental Assistant 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 2020-01-17
1932747961 Riley Whipple Dental Assistant 1401 S 45th Ave, West Richland, WA 99353-7904 2019-12-20
1700423274 Beenish Farooq Dental Assistant 10710 Ne 10th St Apt 1702, Bellevue, WA 98004-1068 2019-12-04
1881241206 Adena Suen Mangkornkeo Dental Assistant 14827 80th Ave Se, Snohomish, WA 98296-8407 2019-08-21
1043864127 Traci Guan Dental Assistant 2027 196th St Sw Ste R1, Lynnwood, WA 98036-7073 2019-07-28
1881161818 Michelle Wolfe Dental Assistant A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 2018-10-29
1134615735 Ronda Mechelle Pugaczewski Dental Assistant 12621 164th St E, Puyallup, WA 98374-9523 2018-07-06
1831680974 Yessica Yasmin Gaxiola Dental Assistant 17425 Wa-99 Suite D, Lynnwood, WA 98037 2018-05-24
1659873453 Jacqueline Patrick Dental Assistant 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 2018-03-07
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Competitor

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City SEATTLE
Zip Code 98117

Improve Information

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Dataset Information

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.

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