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DR. IVAN M LARSEN D.M.D
NPI 1285185355
Dentist - Endodontics in Jefferson City, MO

Active since October 24, 2016PECOS Enrolled
1002 DIAMOND RDG STE 1500, JEFFERSON CITY, MO 65109(573) 298-4400 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2022, May 15, 2019, Oct 24, 2016 (3 updates tracked since 2016).

About Dr. Ivan M Larsen D.m.d NPPES

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

DR. IVAN M LARSEN D.M.D (NPI 1285185355) is an individual endodontics provider in Jefferson City, Missouri, licensed in Missouri (2019008323) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1285185355
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. IVAN M LARSENCredential: D.M.D
Location Address1002 DIAMOND RDG STE 1500Jefferson City, MO 65109-7914
Mailing Address1002 Diamond Rdg Ste 1500Jefferson City, MO 65109-7914 · (573) 298-4400
Phone(573) 298-4400
Sole ProprietorNo
Enumeration DateOctober 24, 2016
Last NPPES UpdateSeptember 28, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1285185355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MO · 2019008323
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License D-4797 (ID), 2019008323 (MO)
1002 DIAMOND RDG STE 1500, Jefferson City, MO 65109
Open in Google Maps ↗

Secondary Practice Location 1

Location 11311 E Central DrMeridian, ID 83642-7991 · Phone (208) 373-1860

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. Ivan M Larsen D.m.d 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 65109 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 2

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

DR. ERICK A JANSSON DDS
Dentist (Endodontics)
1002 DIAMOND RDG STE 1500
JEFFERSON CITY, MO 65109
Cole County (573) 298-4400
MISSOURI DENTAL SPECIALISTS
Dentist (Endodontics)
1002 DIAMOND RDG STE 1500
JEFFERSON CITY, MO 65109
Cole County (573) 298-4400

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 Ivan Larsen's NPI number?

The NPI number for Ivan Larsen is 1285185355. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Ivan Larsen located?

Ivan Larsen practices at 1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109. The listed phone number is (573) 298-4400.

What is Ivan Larsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Ivan Larsen enrolled in Medicare?

Yes. Ivan Larsen is registered in the Medicare PECOS enrollment system.

What insurance does Ivan Larsen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 9 other insurers list Ivan Larsen 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 Ivan Larsen was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.