DR. THOMAS HARTMAN LARSON (NPI# 1811068109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811068109 |
| Entity Type | Individual |
| Full Name | DR. THOMAS HARTMAN LARSON |
| Credential | D.D.S. |
| Practice Address |
7780 N Fresno St Suite 105 Fresno CA 93720-2413 |
| Practice Telephone | 5594319701 |
| Mailing Telephone | 5594319701 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
25928 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | B 25928-01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1851491559 | Thomas Charles Larson | Marriage & Family Therapist | 68625 Perez Rd Ste 11a, Cathedral City, CA 92234-7250 | 2006-09-22 |
| 1336149483 | Thomas Jennings Larson Jr. | Podiatrist | 2821 S 87th Ave, Omaha, NE 68124-3046 | 2005-07-29 |
| 1629425079 | Thomas Larson | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-05-16 |
| 1962805788 | Thomas Arthur Larson | Counselor | 1802 E Thomas Rd, Phoenix, AZ 85016-8134 | 2014-10-07 |
| 1578965919 | Thomas Christopher Larson Jr. | Pharmacist | 873 New Loudon Rd, Latham, NY 12110-2150 | 2014-09-17 |
| 1366763625 | Thomas M Larson | Physical Therapist | 1989 Capital Cir Ne, Suite 9, Tallahassee, FL 32308-4493 | 2010-06-21 |
| 1114170909 | Thomas S Larson | Social Worker | 100 Madison Avenue, Crisis Intervention, Morristown, NJ 07962-1955 | 2008-10-24 |
| 1730377615 | Thomas Dean Larson | Dentist | 3 Morris Hall, Mankato, MN 56001-6043 | 2007-10-04 |
| 1588747349 | Thomas J Larson | Orthopaedic Surgery | 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 | 2006-10-23 |
| Street Address |
7780 N FRESNO ST SUITE 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871589085 | Douglas S Stanley | Internal Medicine | 7780 N Fresno St, Ste 102, Fresno, CA 93720-2413 | 2005-09-22 |
| 1073931697 | Susan Dominic, M.d., Inc. | Internal Medicine | 7780 N Fresno St, Suite 100, Fresno, CA 93720-2413 | 2014-04-01 |
| 1578704169 | Thomas H Larson Dds Inc | Clinic/Center | 7780 N Fresno St, Suite 105, Fresno, CA 93720-2413 | 2009-03-12 |
| 1831372242 | Susan Lee Logan | Transplant Surgery | 7780 N Fresno St, Ste 100, Fresno, CA 93720-2413 | 2007-12-07 |
| 1639370588 | Douglas S. Stanley, M.d., Inc. | Specialist | 7780 N Fresno St, Suite 102, Fresno, CA 93720-2413 | 2007-05-29 |
| 1306997820 | Katherine Mulvey | Optometrist | 7780 N Fresno St, Suite 103, Fresno, CA 93720-2413 | 2007-01-12 |
| 1346305612 | Raymond Mulvey | Optometrist | 7780 N Fresno St, Suite 103, Fresno, CA 93720-2413 | 2006-12-26 |
| 1154401628 | Leonard J Lovalvo | Colon & Rectal Surgery | 7780 N Fresno St, #101, Fresno, CA 93720 | 2006-10-17 |
| 1285742312 | Susan Dominic | Internal Medicine | 7780 N Fresno St, Ste. 100, Fresno, CA 93720-2413 | 2006-08-28 |
| 1396726287 | Jeffery Hubbard | Internal Medicine | 7780 N Fresno St, Suite 102, Fresno, CA 93720-2413 | 2005-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1164881413 | Corbin Smith | Dentist | 7005 N Chestnut Ave Ste 101, Fresno, CA 93720-0348 | 2016-02-15 |
| 1003102443 | California Kidds Pediatric Dentistry | Dentist | 7525 N. Cedar Ave, #105, Fresno, CA 93720 | 2011-06-23 |
| 1316102015 | Jeffrey Baird Evans | Dentist | 7525 N. Cedar Ave., Suite 105, Fresno, CA 93720 | 2008-07-22 |
| 1134285877 | Maria Sheu Kidwell | Dentist | 1705 N Fine Ave, Ste. 102, Fresno, CA 93727 | 2006-12-28 |
| 1801984513 | Susie Kalinian | Dentist | 323 E Bullard Ave, Suite 103, Fresno, CA 93710-5286 | 2006-10-10 |
| 1588672877 | Rick J Jelmini | Dentist | 7104 N Fresno St Ste 101, Fresno, CA 93720-2970 | 2006-08-03 |
| 1336641000 | Zachery Tyler Davis | Dentist | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2018-03-08 |
| 1912443029 | Alan J Vallarine Dds Inc 2 | Dentist | 2828 Fresno St, Suite 100, Fresno, CA 93721-1327 | 2017-01-12 |
| Find all providers in FRESNO | ||||
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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.