STEPHEN M LARSON (NPI# 1003838459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003838459 |
| Entity Type | Individual |
| Full Name | STEPHEN M LARSON |
| Credential | D.M.D. |
| Practice Address |
6411 Fannin St Houston TX 77030-1501 |
| Mailing Address |
Po Box 301173 Dallas TX 75303-1173 |
| Practice Telephone | 7135006200 |
| Practice Fax Number | 7135006201 |
| Mailing Telephone | 7135003500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11353 | TX | Dental Providers |
| N | 207L00000X | Anesthesiology | 11353 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 84214F | 01 |
| TX | 102216202 | 05 | |
| TX | BCBS | 8X6137 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487759619 | Stephen Mark Larson | Optometrist | 314 Main St S, Sauk Centre, MN 56378-1349 | 2006-09-13 |
| 1699883876 | Stephen James Larson | Dentist | 777 Cuesta Dr Ste 100, Mountain View, CA 94040-3765 | 2006-08-28 |
| 1649230160 | Stephen Larson | Psychologist | 352 Hommelville Rd, Saugerties, NY 12477-4205 | 2006-03-27 |
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1851802680 | Stephen Michael Larson | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2017-10-19 |
| 1972980928 | Stephen Larson | Otolaryngology | 1120 15th St, Augusta, GA 30912-3403 | 2015-04-29 |
| 1700205382 | Stephen Nathaniel Larson | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2014-04-10 |
| 1972733467 | Stephen A Larson | Social Worker | 1100 K Ave, La Grande, OR 97850-2131 | 2009-07-20 |
| 1033276357 | Stephen Joseph Larson | Dentist | 612 Rockdale Ave, Cincinnati, OH 45229-2919 | 2007-01-03 |
| 1386755775 | Stephen Larson | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-08-31 |
| Street Address |
6411 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512513 | Steven B. Eisenberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6411 Fannin St, Houston, TX 77030-1501 | 2005-07-18 |
| 1447867411 | Jordan Lee Garcia | Physician Assistant | 6411 Fannin St, Houston, TX 77030-1501 | 2020-09-24 |
| 1639780042 | Sven Asmussen | Anesthesiology | 6411 Fannin St, Houston, TX 77030-1501 | 2020-08-11 |
| 1326657289 | Beatrice E Akpanumoh | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-27 |
| 1992313217 | Tyree Pasini | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-22 |
| 1942818265 | Kandyce Lynn Jones | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-22 |
| 1326661620 | Kelbie Jo Kerr | Anesthesiology | 6411 Fannin St, Houston, TX 77030-1501 | 2020-05-20 |
| 1902426323 | Jennifer Benson Scales | Nurse Practitioner | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-26 |
| 1457980880 | Rocky Rodriguez | Nurse Practitioner | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-07 |
| 1629607106 | Emily Harlos | Student in an Organized Health Care Education/Training Program | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| 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 |
|---|---|---|---|---|
| 1386242923 | Exquisite Dental Smiles Pllc | Dentist | 2200 Aldine Mail Route Rd # 106, Houston, TX 77039 | 2020-10-15 |
| 1568069094 | Vintage Smile Family Dentistry | Dentist | 10300 Louetta Rd, Houston, TX 77070-2121 | 2020-10-07 |
| 1093322836 | Lan Hoang Dao | Dentist | 6711 Mission Bell Dr, Houston, TX 77083-2524 | 2020-09-25 |
| 1871107714 | Nbnl Dental Pllc | Dentist | 4400 North Fwy Spc C300, Houston, TX 77022-3649 | 2020-09-08 |
| 1780293613 | Namrata Rathod | Dentist | 1255 Eldridge Pkwy Apt 126, Houston, TX 77077-2161 | 2020-07-27 |
| 1104434752 | Pavana Kulathanal Chakrapani | Dentist | 1072 Federal Rd, Houston, TX 77015-4804 | 2020-07-20 |
| 1821606039 | Po-lin Yang | Dentist | 4500 Washington Ave Ste 700, Houston, TX 77007-5478 | 2020-07-14 |
| 1053939637 | Anusha Joseph | Dentist | 306 Woodcombe Dr, Houston, TX 77062-2540 | 2020-07-09 |
| 1508482860 | Garcia- Alcover Dental Pllc | Dentist | 6720 Chimney Rock Rd Ste S, Houston, TX 77081-5640 | 2020-06-23 |
| 1205452893 | Linh Ngoc Pham | Dentist | 9207 Meadow Branch Ct, Houston, TX 77095-2753 | 2020-06-19 |
| Find all providers in HOUSTON | ||||
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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.