DR. JOHN LARSON (NPI# 1982152609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982152609 |
| Entity Type | Individual |
| Full Name | DR. JOHN LARSON |
| Credential | PH.D. |
| Practice Address |
525 E Illinois St Spearfish SD 57783-2521 |
| Practice Telephone | 6057171219 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
73165-2 | SD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114100278 | John P Larson | Counselor | 2703 Frontier St Ne, Suite 120 Msc11 6145, Albuquerque, NM 87131 | 2007-12-12 |
| 1427125467 | John W Larson | Dentist | 1290 W Centennial Blvd, Suite 1, Springfield, OR 97477-3566 | 2006-11-28 |
| 1285642975 | John W Larson | Chiropractor | 1740 Weir Dr, Suite 24, Woodbury, MN 55125-2282 | 2006-08-04 |
| 1174537757 | John Christopher Larson | Chiropractor | 11328 Kenyon Way, B, Rancho Cucamonga, CA 91701-9265 | 2006-07-28 |
| 1487606679 | John Jeffrey Larson | Specialist/Technologist | 6701 N Jean Nicolet Rd, Milwaukee, WI 53217-3701 | 2006-05-16 |
| 1215932173 | John Robert Larson | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2005-06-16 |
| 1669098547 | John Larson | Case Manager/Care Coordinator | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2020-06-17 |
| 1619520251 | John Paul Larson | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-23 |
| 1144783408 | John S Larson | Nurse Practitioner | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2019-04-12 |
| 1437671237 | John Dylan Larson | Student in an Organized Health Care Education/Training Program | 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 | 2017-07-13 |
| Street Address |
525 E ILLINOIS ST |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326243817 | Spearfish School District | Local Education Agency (LEA) | 525 E Illinois St, Spearfish, SD 57783-2521 | 2007-06-15 |
| 1720439011 | Julie Peldo | Speech-Language Pathologist | 525 E Illinois St, Spearfish, SD 57783-2521 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671332 | Diane M. Mueller | Psychologist | 36762 274th Street, Platte, SD 57369 | 2016-11-04 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1285180802 | James Calmus | Psychologist | 201 East 38th St, Attn Cindy Bartlett, Sioux Falls, SD 57105 | 2016-09-01 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1275080889 | Lance Koenig | Psychologist | 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 | 2016-09-01 |
| 1245786847 | Sam Leinen | Psychologist | 201 East Thirty-eighth St, Sioux Falls, SD 57105-5898 | 2016-09-01 |
| 1457805806 | Jaclyn Marie Braa | Psychologist | 2304 E 17th St, Sioux Falls, SD 57103-2318 | 2016-08-14 |
| 1265985774 | Penny Petrik | Psychologist | 820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 | 2016-08-02 |
| 1932552015 | Beth Prasek | Psychologist | 512 N Garfield Ave, Dell Rapids, SD 57022-1719 | 2016-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JOHN LARSON.
| 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.