1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Dentist
  6. NPI Profile

ANDREW CHARLES LARSON DMD
NPI 1215720479
Dentist in Phoenix, AZ

Active since May 28, 2025PECOS Enrolled
2217 W HAPPY VALLEY RD STE 100, PHOENIX, AZ 85085(623) 581-7031 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Charles Larson Dmd NPPES

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

ANDREW CHARLES LARSON DMD (NPI 1215720479) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D012502) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215720479
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameANDREW CHARLES LARSONCredential: DMD
Location Address2217 W HAPPY VALLEY RD STE 100Phoenix, AZ 85085-1604
Mailing Address7593 W Redbird RdPeoria, AZ 85383-6253 · (480) 639-7651
Phone(623) 581-7031
Sole ProprietorYes
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1215720479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012502
Definition
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.
2217 W HAPPY VALLEY RD STE 100, Phoenix, AZ 85085
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Charles Larson Dmd 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 85085 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

NORTERRA PEDIATRIC DENTAL PARTNERS, LLP
Dentist (Pediatric Dentistry)
2217 W HAPPY VALLEY RD STE 100
PHOENIX, AZ 85085
Maricopa County (623) 434-0543
DR. SCOTT RODE DMD
Dentist
2217 W HAPPY VALLEY RD STE 100
PHOENIX, AZ 85085
Maricopa County (623) 581-7031
DR. SPENCER TERRY PACKER DMD
Dentist
2217 W HAPPY VALLEY RD STE 100
PHOENIX, AZ 85085
Maricopa County (623) 581-7031

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 Andrew Larson's NPI number?

The NPI number for Andrew Larson is 1215720479. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Andrew Larson located?

Andrew Larson practices at 2217 W Happy Valley Rd Ste 100, Phoenix, AZ 85085. The listed phone number is (623) 581-7031.

What is Andrew Larson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Andrew Larson enrolled in Medicare?

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

What insurance does Andrew Larson accept?

Health plans from Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Andrew Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Larson was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.