SANDRA SUE LARSON (NPI# 1619039922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619039922 |
| Entity Type | Individual |
| Full Name | SANDRA SUE LARSON |
| Credential | DDS |
| Practice Address |
1919 South 40th St Suite 105 Lincoln NE 68506-5247 |
| Practice Telephone | 4024831054 |
| Practice Fax Number | 4024831056 |
| Mailing Telephone | 4024831054 |
| Mailing Fax Number | 4024831056 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5345 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47072666100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265862866 | Sandra Larson | Student in an Organized Health Care Education/Training Program | 3740 W Market Center Dr Ste 1200, Riverton, UT 84065-8026 | 2013-11-18 |
| 1730400383 | Sandra L Larson | Social Worker | 1064 Brooklawn Ct, Troy, MI 48084-2621 | 2010-06-17 |
| 1407460892 | Sandra Larson | Behavior Technician | 2428 N Grand Ave Ste K, Santa Ana, CA 92705-8708 | 2020-09-02 |
| 1760033658 | Sandra Larson | Counselor | 500 Barfield Dr, Hastings, MI 49058-9018 | 2019-09-23 |
| 1174614408 | Sandra L Larson | Counselor | 401 Stageline Rd, Hudson, WI 54016-7897 | 2006-09-28 |
| 1396779773 | Sandra Larson | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-10 |
| 1659310845 | Sandra K Larson | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-05 |
| Street Address |
1919 SOUTH 40TH ST SUITE 105 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| 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 |
|---|---|---|---|---|
| 1346854692 | Justin Marino | Dentist | 6 Blackstone Valley Pl Bldg 3, Lincoln, RI 02865-1179 | 2020-09-03 |
| 1053922534 | Chelsea Glissman | Dentist | 751 Sterling Pkwy Ste 100, Lincoln, CA 95648-7313 | 2020-08-10 |
| 1275150401 | Vy T Vu | Dentist | 6835 S 27th St Ste 2, Lincoln, NE 68512-4824 | 2020-07-03 |
| 1326664483 | Robert Kirkland | Dentist | 1919 S 40th St Ste 200, Lincoln, NE 68506-5247 | 2020-06-24 |
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1619529617 | Brenton Joseph Matulka | Dentist | 575 Fallbrook Blvd Ste 107, Lincoln, NE 68521-9040 | 2019-07-10 |
| 1912472192 | Lonnie R. Flagtwet, Dds | Dentist | 7121 Stephanie Ln Ste 112, Lincoln, NE 68516-5324 | 2018-10-03 |
| 1033695366 | Callie R Krajicek | Dentist | Williamsburg Dental 6930 L St., Ste B, Lincoln, NE 68510-6851 | 2018-07-19 |
| 1659857522 | Chantel Rueb Keller | Dentist | 2915 Channel Dr, Lincoln, NE 68516-4985 | 2018-07-13 |
| Find all providers in LINCOLN | ||||
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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.