KELLY JAMES LARSON (NPI# 1346310414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346310414 |
| Entity Type | Individual |
| Full Name | KELLY JAMES LARSON |
| Credential | DDS |
| Practice Address |
8086 E Florentine Rd Prescott Valley AZ 86314-9422 |
| Practice Telephone | 9287728128 |
| Practice Fax Number | 9287722369 |
| Mailing Telephone | 9287728128 |
| Mailing Fax Number | 9287722369 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D4296 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1124442595 | Kelly Larson | Massage Therapist | 11 Spokane St Ste 202, Wenatchee, WA 98801-6132 | 2014-02-06 |
| 1619274362 | Kelly A Larson | Massage Therapist | 225 Maxwell Ave, Port Townsend, WA 98368-9488 | 2011-02-15 |
| 1023191442 | Kelly Suzanne Larson | Family Medicine | 700 Lily Rd Se, Olympia, WA 98503 | 2006-10-21 |
| 1184282212 | Kelly Larson | Assistant Behavior Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-06-04 |
| 1144691551 | Kelly Elizabeth Larson | Behavioral Analyst | 1025 E 54th St, Indianapolis, IN 46220-3219 | 2015-10-12 |
| 1891101606 | Kelly Larson | Counselor | 7907 Ostrow St, San Diego, CA 92111-3635 | 2014-07-01 |
| 1528190998 | Kelly Larson | Physical Therapy Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2007-03-12 |
| 1760512438 | Kelly Marie Larson | Physical Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2007-03-06 |
| 1548301161 | Kelly Larson | Speech-Language Pathologist | 701 W 6th St, Grafton, ND 58237-1379 | 2007-02-08 |
| Street Address |
8086 E FLORENTINE RD |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740655190 | Larson Family Dentistry | Clinic/Center | 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 | 2015-12-10 |
| 1861787178 | Seth L Larson | Dentist | 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932518404 | Prescott Valley Dental Group, LLP | Dentist | 3264 Glassford Hill Road, Ste. A, Prescott Valley, AZ 86314 | 2014-08-08 |
| 1750623559 | Edward M. Reifman, Dds Inc | Dentist | 3264 N Glassford Hill Rd Ste A, Prescott Valley, AZ 86314-1353 | 2013-03-20 |
| 1184914616 | Sean C Reed | Dentist | 8053 E Florentine Rd, Prescott Valley, AZ 86314-9423 | 2011-04-18 |
| 1366636540 | Matthew Bergman | Dentist | 8154 E Florentine Rd Ste B, Prescott Valley, AZ 86314-8487 | 2007-08-30 |
| 1245366798 | Kenyon Thomas Banfield | Dentist | 2485 Great Western Ste E, Prescott Valley, AZ 86314 | 2007-02-26 |
| 1619021425 | David Frausto Jr. | Dentist | 7136 Pav Way, Prescott Valley, AZ 86314-2264 | 2007-01-22 |
| 1972619153 | Richard William Zapfe | Dentist | 3253 North Windsong Dr, Prescott Valley, AZ 86314 | 2006-08-21 |
| 1366495087 | James Clinton Goodwin | Dentist | 3192 N Windsong Dr, Prescott Valley, AZ 86314-2239 | 2006-05-17 |
| 1396369609 | Cheryl Ligon | Dentist | 7136 Pav Way, Prescott Valley, AZ 86314-2264 | 2020-06-02 |
| 1134786486 | Kaylan Rose Huber | Dentist | 7136 Pav Way, Prescott Valley, AZ 86314-2264 | 2019-05-22 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on KELLY JAMES 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.