DR. CHAD EVANS LARSON (NPI# 1609208826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609208826 |
| Entity Type | Individual |
| Full Name | DR. CHAD EVANS LARSON |
| Credential | D.D.S. |
| Practice Address |
401 16th St Se Rochester MN 55904-7973 |
| Practice Telephone | 5072884427 |
| Practice Fax Number | 5072888497 |
| Mailing Telephone | 5072884427 |
| Mailing Fax Number | 5072888497 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2015-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 13231 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770696049 | Chad Eugene Larson | Chiropractor | 4910 Old Cheney Rd, Unit 1a, Lincoln, NE 68516-3107 | 2006-08-17 |
| 1588036545 | Chad William Larson | Counselor | 5005 N Piedras St, Attention Wbamc, El Paso, TX 79920-5002 | 2015-10-29 |
| 1427309061 | Chad Larson | Physical Therapist | 6001 Cochran Rd, Suite 202, Solon, OH 44139-3310 | 2012-09-23 |
| 1568618692 | Chad Larson | Physical Therapist | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2008-08-08 |
| 1205921277 | Chad Larson | Chiropractor | 5214 N Western Ave, Ste 102, Chicago, IL 60625-2589 | 2006-10-04 |
| Street Address |
401 16TH ST SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-7973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114991361 | Kimberly E Henderson | Nurse Practitioner | 401 16th St Se, Rochester, MN 55904-7973 | 2006-02-15 |
| 1548771975 | Britne Weiher | Social Worker | 401 16th St Se, Rochester, MN 55904-7973 | 2017-10-12 |
| 1003211400 | Lacy Osborne | Social Worker | 401 16th St Se, Rochester, MN 55904-7973 | 2014-10-28 |
| 1578759270 | Kevin Lee Petersen | Counselor | 401 16th St Se, Rochester, MN 55904-7973 | 2007-09-18 |
| 1790983161 | Richard L Sprague | Social Worker | 401 16th St Se, Rochester, MN 55904-7973 | 2007-07-06 |
| 1275667123 | Arnold J Hill | Dentist | 401 16th St Se, Rochester, MN 55904-7973 | 2007-03-15 |
| 1891829669 | Ta Guenthner, Dds Msd and Be Larson, Dds, Ms, Pa | Clinic/Center | 401 16th St Se, Rochester, MN 55904-7973 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| 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 |
|---|---|---|---|---|
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1356965248 | Tarin Allison Nassaney | Dentist | 40 Winter St Ste 201, Rochester, NH 03867-3139 | 2020-06-05 |
| 1629616206 | Stacey Starkes | Dentist | 1238 E Ridge Rd Ste 200, Rochester, NY 14621-2012 | 2019-12-14 |
| 1811459878 | Lakshmi Devi Ranjan Mandava | Dentist | 1000 Hylan Dr Ste B, Rochester, NY 14623-4218 | 2019-04-01 |
| 1417419409 | Scott J Koopman | Dentist | 3220 Chili Ave Ste 3, Rochester, NY 14624-5482 | 2019-04-01 |
| 1790246882 | Adriana Palacio | Dentist | 2052 S Clinton Ave, Rochester, NY 14618-5703 | 2019-03-29 |
| 1093213498 | David Lawrence | Dentist | 1000 E Henrietta Rd, Rochester, NY 14623-5701 | 2018-01-31 |
| 1518472604 | Scott Kanas | Dentist | 1002 E Gunn Rd, Rochester, MI 48306-1910 | 2017-12-11 |
| 1427587195 | Ryan Dental, LLC | Dentist | 216 Broadway Ave N, Rochester, MN 55906-3646 | 2017-06-07 |
| 1578008884 | Shilpa Singh | Dentist | 59 Lac Kine Dr, Rochester, NY 14618-5607 | 2016-12-21 |
| Find all providers in ROCHESTER | ||||
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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.