DR. C. MICHAEL LARSEN (NPI# 1568641413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568641413 |
| Entity Type | Individual |
| Full Name | DR. C. MICHAEL LARSEN |
| Credential | D.D.S. |
| Practice Address |
1100 E Southlake Blvd Suite 400 Southlake TX 76092-6357 |
| Practice Telephone | 8174883636 |
| Practice Fax Number | 8174212372 |
| Mailing Telephone | 8174883636 |
| Mailing Fax Number | 8174212372 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2009-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
21856 | TX | Dental Providers |
| Street Address |
1100 E SOUTHLAKE BLVD SUITE 400 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316988777 | Nicole Leigh Sutherland | Physical Therapist | 1100 E Southlake Blvd, Suite 250, Southlake, TX 76092-6357 | 2006-06-09 |
| 1134463474 | Habash Md | Plastic Surgery | 1100 E Southlake Blvd, Suite 250, Southlake, TX 76092-6357 | 2012-11-26 |
| 1558639245 | Sarah Gillen | Physical Therapist | 1100 E Southlake Blvd, Suite 250, Southlake, TX 76092-6357 | 2011-12-08 |
| 1174842066 | Center for Pelvic Health | Physical Therapist | 1100 E Southlake Blvd, Suite 250, Southlake, TX 76092-6357 | 2010-05-18 |
| 1730331778 | Advanced Southlake Endodontics, Pllc | Clinic/Center | 1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357 | 2008-10-22 |
| 1558559609 | Todd W Remmers | Dentist | 1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357 | 2007-10-12 |
| 1386765675 | Todd D Strickland | Dentist | 1100 E Southlake Blvd, 600, Southlake, TX 76092-6357 | 2007-04-03 |
| 1508943127 | Edward M Moore IIi | Dentist | 1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154777316 | Chad R Allen | Dentist | 190 S White Chapel Blvd, Southlake, TX 76092 | 2016-05-06 |
| 1558559609 | Todd W Remmers | Dentist | 1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357 | 2007-10-12 |
| 1508943127 | Edward M Moore IIi | Dentist | 1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221392 | Erika Silguero | Dentist | 101 E Expressway 83 Ste 120, Mcallen, TX 78501-1164 | 2020-10-01 |
| 1952925968 | Premier Endodontics, P.C. | Dentist | 3400 N Mccoll Rd Ste C, Mcallen, TX 78501-5783 | 2020-06-04 |
| 1982233318 | Patency Capital LLC | Dentist | 1050 Yale St Ste 210, Houston, TX 77008-2831 | 2020-04-07 |
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366074890 | Magnolia Family Dentistry Pllc | Dentist | 610 Melton St Ste 300, Magnolia, TX 77354-2366 | 2020-02-12 |
| 1639719925 | Yelton Jung Endodontics Group | Dentist | 1901 Fm 423 Ste 200, Frisco, TX 75033-4729 | 2020-01-14 |
| 1528608817 | Yelton Jung Endodontics Group | Dentist | 1710 Highway 287 N Ste 100, Mansfield, TX 76063-7725 | 2020-01-14 |
| 1699323618 | Jaymin Jayantibhai Patel | Dentist | 2112 Boll St Apt 122, Dallas, TX 75204-2835 | 2019-09-03 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1790349165 | Endodontics & Microsurgery Center PC | Dentist | 23543 Kingsland Blvd Ste 500, Katy, TX 77494-3962 | 2019-04-30 |
| Find all providers with the same taxonomy | ||||
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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.