DR. RONALD ROBERT LARSEN (NPI# 1811241664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811241664 |
| Entity Type | Individual |
| Full Name | DR. RONALD ROBERT LARSEN |
| Credential | DDS |
| Practice Address |
1870 Avondale Ave Suite 5 Sacramento CA 95825-1388 |
| Mailing Address |
1870 Avondale Avenue Suite 5 Sacramento CA 95825 |
| Practice Telephone | 9164840000 |
| Practice Fax Number | 9164878644 |
| Mailing Telephone | 9164840000 |
| Mailing Fax Number | 9164878644 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
33487 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336343896 | Ronald Axel Larsen | Family Medicine | 18767 Thomas Lee Way, Lansdowne, VA 20176-8225 | 2007-06-11 |
| 1851489033 | Ronald Kenneth Larsen | Physical Therapist | 2087 Grand Canal Blvd, Suite 17, Stockton, CA 95207-6651 | 2006-10-11 |
| 1265772552 | Ronald Wayne Larsen | Counselor | 8609 Lyndale Ave S, 101k, Bloomington, MN 55420-2754 | 2013-02-22 |
| 1154631471 | Ronald Larsen | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2010-10-20 |
| 1306870944 | Ronald M Larsen | Psychiatry & Neurology | 1000 4th St Sw, Mmcni Administration, Mason City, IA 50401-2800 | 2006-07-10 |
| Street Address |
1870 AVONDALE AVE SUITE 5 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003032632 | David Brian Hull | Dentist | 1870 Avondale Ave, Suite #2, Sacramento, CA 95825-1388 | 2007-04-18 |
| 1023397825 | Arben Celaj | Dentist | 1870 Avondale Ave, Sacramento, CA 95825-1388 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710176086 | Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation | Dentist | 3000 L St Ste 205, Sacramento, CA 95816-5248 | 2007-10-23 |
| 1205046299 | Jeffrey Yngve Nordlander | Dentist | 6409 Folsom Blvd # 2, Sacramento, CA 95819-4620 | 2007-05-22 |
| 1831212562 | Daesoon Kim | Dentist | 1724 Professional Dr, Sacramento, CA 95825-2105 | 2007-04-09 |
| 1780702480 | Herlin Kaur Dyal | Dentist | 6409 Folsom Blvd, Suite #2, Sacramento, CA 95819-4620 | 2007-03-27 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1538188016 | Jeffrey G Light | Dentist | 2650 21st St Ste 3, Sacramento, CA 95818-2539 | 2006-07-18 |
| 1982855169 | Diana Caroline Fat | Dentist | 2131 Capitol Ave, Suite 300, Sacramento, CA 95816-5755 | 2008-10-06 |
| 1245440957 | Brock Hinton | Dentist | 6409 Folsom Blvd, Sacramento, CA 95819-4620 | 2007-05-23 |
| 1982704151 | Michael A. Mikitka | Dentist | 1675 Alhambra Blvd, Suite F, Sacramento, CA 95816-7047 | 2006-09-25 |
| 1356326706 | Mark B. Peterson | Dentist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2005-12-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.