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DR. ERIC A. LARSON D.D.S.
NPI 1417081308
Dentist - General Practice in Salt Lake City, UT

Active since March 15, 2007PECOS Enrolled
928 E 100 S, STE #B, SALT LAKE CITY, UT 84102(801) 355-4733(801) 322-0629 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Eric A. Larson D.d.s. NPPES

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

DR. ERIC A. LARSON D.D.S. (NPI 1417081308) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (334445-9921) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417081308
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERIC A. LARSONCredential: D.D.S.
Location Address928 E 100 S, STE #BSalt Lake City, UT 84102-1455
Mailing Address928 East 100 South, Ste #bSalt Lake City, UT 84102-8410 · (801) 355-4733 · Fax (801) 322-0629
Phone(801) 355-4733
Fax(801) 322-0629
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417081308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 334445-9921
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.
928 E 100 S, Salt Lake City, UT 84102
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Other Identifiers 1

Other80012476UT · Tin #

Accepted Insurance

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

Dr. Eric A. 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 84102 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 5

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

DR. CASEY WOOD CLIFFORD D.D.S.
Dentist
928 E 100 S, SUITE E
SALT LAKE CITY, UT 84102
Salt Lake County (801) 355-5657
DR. SCOTT ANDREW LARSON D.M.D.
Dentist (General Practice)
928 E 100 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 355-3322
DR. TIMOTHY SEARS EVANS DDS
Dentist
928 E 100 S, SUITE E
SALT LAKE CITY, UT 84102
Salt Lake County (801) 355-5657
DR. BRENT A. LARSON D.D.S.
Dentist (General Practice)
928 E 100 S, STE #A
SALT LAKE CITY, UT 84102
Salt Lake County (801) 355-5558
DR. MATTHEW BRENT LARSON D.D.S.
Dentist
928 E 100 S, SUITE A
SALT LAKE CITY, UT 84102
Salt Lake County (801) 860-5010

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 Eric Larson's NPI number?

The NPI number for Eric Larson is 1417081308. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Eric Larson located?

Eric Larson practices at 928 E 100 S Ste #b, Salt Lake City, UT 84102. The listed phone number is (801) 355-4733.

What is Eric Larson's specialty?

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

Is Eric Larson enrolled in Medicare?

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

What insurance does Eric Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 11 other insurers list Eric 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 Eric Larson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.