SAMUEL LARSEN (NPI# 1437776606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437776606 |
| Entity Type | Individual |
| Full Name | SAMUEL LARSEN |
| Practice Address |
1421 Nw 85th St Seattle WA 98117-4298 |
| Mailing Address |
5225 50th Ave Ne Unit 207 Seattle WA 98105-2872 |
| Practice Telephone | 2067890111 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | D160946710 | WA | Dental Providers |
| Street Address |
1421 NW 85TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98117-4298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101791 | Douglas Lester Ragee | Dentist | 1421 Nw 85th St, Seattle, WA 98117-4298 | 2006-07-25 |
| 1831727171 | Nhi Minh Ho | Dental Assistant | 1421 Nw 85th St, Seattle, WA 98117-4298 | 2020-03-31 |
| 1114142072 | James T Petersen | Dentist | 1421 Nw 85th St, Suite B, Seattle, WA 98117 | 2007-04-16 |
| 1346360567 | Nguyen Dds Ps | Dentist | 1421 Nw 85th St, Seattle, WA 98117-4298 | 2007-03-30 |
| 1790804888 | John M Davis | Dentist | 1421 Nw 85th St, Seattle, WA 98117-4298 | 2007-03-28 |
| 1851430136 | Dzon Manh Nguyen | Dentist | 1421 Nw 85th St, Seattle, WA 98117-4298 | 2007-02-05 |
| 1851478341 | Kristin Ann Johannsen | Dentist | 1421 Nw 85th St, Seattle, WA 98117-4298 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882725 | Banner Dental | Dentist | 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 | 2020-02-05 |
| 1114422045 | Solar Acupuncture LLC | Acupuncturist | 9015 Holman Rd Nw Suite 1 Room 12, Seattle, WA 98117 | 2018-03-23 |
| 1033610621 | Yijun Liang | Acupuncturist | 9015 Holman Rd Nw Suite 1,room 12, Seattle, WA 98117 | 2018-02-28 |
| 1205337235 | Lily Jee-eun Rosenblum | Student in an Organized Health Care Education/Training Program | 7028 21st Ave Nw, Seattle, WA 98117 | 2018-02-25 |
| 1649782681 | Functional Medicine Northwest | Clinic/Center | 8010 15th Ave Nw, Suite D, Seattle, WA 98117 | 2017-10-31 |
| 1558812578 | Sarah J Harwood | Counselor | 8322 11th Ave Nw, Seattle, WA 98117 | 2016-10-14 |
| 1083085617 | Hannah Gordon | Naturopath | 2038 Nw Market Street Zoomcare Ballard, Seattle, WA 98117 | 2015-10-08 |
| 1629322698 | Aimee Therese Denver | Registered Nurse | 3023 Nw 72nd Street, Seattle, WA 98117 | 2012-10-30 |
| 1649523101 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 9000 Holman Road Nw, Suite A1, Seattle, WA 98117 | 2012-10-22 |
| 1922350248 | Bodhi Tree LLC | Chiropractor | 2808-ii E Madison Street, Suite 203, Seattle, WA 98117 | 2012-10-10 |
| Find all providers in zip 98117 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726049 | Usama Al Saedi | Dental Assistant | 1421 Nw 85th St Apt 110, Seattle, WA 98117-4298 | 2020-07-06 |
| 1316408578 | Moises Cerecedo Rios | Dental Assistant | 512 5th Ave W Apt 6, Seattle, WA 98119-3944 | 2019-03-28 |
| 1760933899 | Sarah Park | Dental Assistant | 4557 11th Ave Ne Apt C238, Seattle, WA 98105-0002 | 2016-10-24 |
| 1841640646 | Jessica Jones | Dental Assistant | 10835 35th Ave Sw, Seattle, WA 98146-1728 | 2016-06-13 |
| 1033526579 | Ghazal Karimi Assil | Dental Assistant | 668 S King St, Apt 529, Seattle, WA 98104 | 2014-07-16 |
| 1093142929 | Edward G. Sutter Dds | Dental Assistant | 1422 Seneca St, Seattle, WA 98101-2830 | 2013-10-09 |
| 1831727171 | Nhi Minh Ho | Dental Assistant | 1421 Nw 85th St, Seattle, WA 98117-4298 | 2020-03-31 |
| 1922646819 | June F Lacey | Dental Assistant | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2019-12-11 |
| 1346679784 | Amber Langolf | Dental Assistant | 509 Olive Way, Suite 1633, Seattle, WA 98101-1720 | 2013-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1932747961 | Riley Whipple | Dental Assistant | 1401 S 45th Ave, West Richland, WA 99353-7904 | 2019-12-20 |
| 1700423274 | Beenish Farooq | Dental Assistant | 10710 Ne 10th St Apt 1702, Bellevue, WA 98004-1068 | 2019-12-04 |
| 1881241206 | Adena Suen Mangkornkeo | Dental Assistant | 14827 80th Ave Se, Snohomish, WA 98296-8407 | 2019-08-21 |
| 1043864127 | Traci Guan | Dental Assistant | 2027 196th St Sw Ste R1, Lynnwood, WA 98036-7073 | 2019-07-28 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1134615735 | Ronda Mechelle Pugaczewski | Dental Assistant | 12621 164th St E, Puyallup, WA 98374-9523 | 2018-07-06 |
| 1831680974 | Yessica Yasmin Gaxiola | Dental Assistant | 17425 Wa-99 Suite D, Lynnwood, WA 98037 | 2018-05-24 |
| 1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
| 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.