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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL JOE LARSON D.D.S.
NPI 1093711848
Dentist - General Practice in Evergreen, CO

Active since June 27, 2005PECOS Enrolled
30940 STAGECOACH BLVD, STE E250, EVERGREEN, CO 80439(303) 674-6777 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Joe Larson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOE LARSON D.D.S. (NPI 1093711848) is an individual general practice provider in Evergreen, Colorado, licensed in Colorado (H-D-1-04331) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093711848
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL JOE LARSONCredential: D.D.S.
Location Address30940 STAGECOACH BLVD, STE E250Evergreen, CO 80439-7984
Mailing Address27767 Whirlaway TrlEvergreen, CO 80439-6463 · (303) 674-8229
Phone(303) 674-6777
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1093711848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · H-D-1-04331
Definition
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.
30940 STAGECOACH BLVD, Evergreen, CO 80439
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Joe Larson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNINE BEEBE RAUCH PT
Physical Therapist
30940 STAGECOACH BLVD, SUITE E-110
EVERGREEN, CO 80439
Jefferson County (303) 674-1594
DR. JOHN RUFF MAY PT, DPT
Physical Therapist
30940 STAGECOACH BLVD, E-110
EVERGREEN, CO 80439
Jefferson County (303) 674-1594
DR. THERESA ANN DONATI MD
Internal Medicine
30940 STAGECOACH BLVD, STE 270E
EVERGREEN, CO 80439
Jefferson County (303) 674-6062
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
30940 STAGECOACH BLVD
EVERGREEN, CO 80439
Jefferson County (303) 674-6064
MS. PATRICIA A. MCCORD PT, FAAOMPT
Physical Therapist
30940 STAGECOACH BLVD
EVERGREEN, CO 80439
Jefferson County (303) 674-1594
DR. ANNE MCLEAN M.D.
Internal Medicine
30940 STAGECOACH BLVD, STE 270E
EVERGREEN, CO 80439
Jefferson County (303) 674-6062
ELK RIDGE FAMILY PHYSICIANS INC
Family Medicine
30940 STAGECOACH BLVD, SUITE E290
EVERGREEN, CO 80439
Jefferson County (303) 674-8153
AMY BRAND MPT
Physical Therapist (Orthopedic)
30940 STAGECOACH BLVD, SUITE E110
EVERGREEN, CO 80439
Jefferson County (303) 674-1594

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Larson's NPI number?

The NPI number for Michael Larson is 1093711848. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Michael Larson located?

Michael Larson practices at 30940 Stagecoach Blvd Ste E250, Evergreen, CO 80439. The listed phone number is (303) 674-6777.

What is Michael Larson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Larson enrolled in Medicare?

Yes. Michael Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Larson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.