DR. RICKY LEE LARSON D.D.S.
NPI 1255569927
Dentist - General Practice in Coppell, TX

Active since July 01, 2009PECOS Enrolled
546 E SANDY LAKE RD STE 240, COPPELL, TX 75019(972) 304-0489(972) 745-6799 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ricky Lee Larson D.d.s. NPPES

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

DR. RICKY LEE LARSON D.D.S. (NPI 1255569927) is an individual general practice provider in Coppell, Texas, licensed in Texas (25396) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255569927
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICKY LEE LARSONCredential: D.D.S.
Location Address546 E SANDY LAKE RD STE 240Coppell, TX 75019-5790
Mailing Address546 E Sandy Lake Rd Ste 240Coppell, TX 75019-5790 · (972) 304-0489 · Fax (972) 745-6799
Fax(972) 745-6799
Sole ProprietorNo
Enumeration DateJuly 1, 2009
Last NPPES UpdateOctober 2, 2014
NPI 1255569927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 25396
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.
546 E SANDY LAKE RD STE 240, Coppell, TX 75019

Accepted 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)

Dr. Ricky Lee 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 75019 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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 Ricky Larson's NPI number?

The NPI number for Ricky Larson is 1255569927. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Ricky Larson located?

Ricky Larson practices at 546 E Sandy Lake Rd Ste 240, Coppell, TX 75019. The listed phone number is (972) 304-0489.

What is Ricky Larson's specialty?

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

Is Ricky Larson enrolled in Medicare?

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

What insurance does Ricky Larson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ricky 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 Ricky Larson was last updated on October 2, 2014. 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.