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MR. CORY JOHN LARSON DDS
NPI 1487762548
Dentist - General Practice in Minneapolis, MN

Active since August 29, 2006PECOS Enrolled
1632 WASHINGTON ST NE, MINNEAPOLIS, MN 55413(612) 789-2853(612) 789-9413 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Cory John Larson Dds NPPES

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

MR. CORY JOHN LARSON DDS (NPI 1487762548) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (12212) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487762548
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. CORY JOHN LARSONCredential: DDS
Location Address1632 WASHINGTON ST NEMinneapolis, MN 55413-1336
Mailing Address1632 Washington St NeMinneapolis, MN 55413-1336 · (612) 789-2853 · Fax (612) 789-2853
Phone(612) 789-2853
Fax(612) 789-9413
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487762548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 12212
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.
1632 WASHINGTON ST NE, Minneapolis, MN 55413
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Accepted Insurance

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

Mr. Cory John Larson Dds 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 55413 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 8

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

MR. KIM FRONS LARSON DDS
Dentist (General Practice)
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853
JACILYN THOMAS DDS
Dentist (General Practice)
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853
DEVON HALBERG DDS
Dentist
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853
KIM F LARSON
Dentist (General Practice)
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853
KALLIE DELVEAUX DDS
Dentist (General Practice)
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853
ALEKSA TATARYN DDS
Dentist (General Practice)
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853
NICHOLAS KONRAD STOKFISZ DDS
Dentist
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853
LARSON DENTAL LLC
Dentist
1632 WASHINGTON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 789-2853

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 Cory Larson's NPI number?

The NPI number for Cory Larson is 1487762548. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Cory Larson located?

Cory Larson practices at 1632 Washington St NE, Minneapolis, MN 55413. The listed phone number is (612) 789-2853.

What is Cory Larson's specialty?

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

Is Cory Larson enrolled in Medicare?

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

What insurance does Cory Larson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Cory 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 Cory 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.