DR. JORDAN REEVE LARSEN DO
NPI 1215299490
Pediatrics - Pediatric Emergency Medicine in Oklahoma City, OK
About Dr. Jordan Reeve Larsen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN REEVE LARSEN DO (NPI 1215299490) is an individual pediatric emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (5764) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jordan Reeve Larsen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73104
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 Jordan Larsen's NPI number?
The NPI number for Jordan Larsen is 1215299490. It was assigned to this individual provider in the NPPES registry on June 13, 2012.
Where is Jordan Larsen located?
Jordan Larsen practices at 940 NE 13th St Gt 2300, Oklahoma City, OK 73104. The listed phone number is (405) 271-2429.
What is Jordan Larsen's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Jordan Larsen enrolled in Medicare?
Yes. Jordan Larsen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Larsen was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Dr. Jordan Reeve Larsen, DO · NPI 1215299490
Pediatric Emergency Medicine physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since June 13, 2012.
## Identity
- **NPI:** 1215299490 (Entity type: Individual)
- **Enumerated:** June 13, 2012
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 5764 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 940 NE 13TH ST, GT 2300, Oklahoma City, OK 73104-5008
- **Phone:** (405) 271-2429
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1215299490) · Data from the CMS NPPES public registry.