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KYRON MILEN LARSEN DMD
NPI 1609448711
Dentist - General Practice in Yakima, WA

Active since July 16, 2021PECOS Enrolled
4309 W NOB HILL BLVD, YAKIMA, WA 98908(509) 823-4480 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyron Milen Larsen Dmd NPPES

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

KYRON MILEN LARSEN DMD (NPI 1609448711) is an individual general practice provider in Yakima, Washington, licensed in Washington (DE61186043) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609448711
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKYRON MILEN LARSENCredential: DMD
Location Address4309 W NOB HILL BLVDYakima, WA 98908-3971
Mailing AddressPo Box 12Aurora, UT 84620-0012
Phone(509) 823-4480
Sole ProprietorNo
Enumeration DateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
✔ NPI 1609448711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE61186043
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.
4309 W NOB HILL BLVD, Yakima, WA 98908
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyron Milen Larsen 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.

Medicare Billing Reassignment

Medicare enrollment records show Kyron Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Carlos Apache Healthcare Corporation
1,061 mi
Critical Access Hospital
103 MEDICINE WAY ROAD
Peridot, AZ 85542
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1265813075 (928) 475-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98908 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 9

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

DR. TRAVIS ROBERT DAVIS DMD
Dentist
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 823-4480
DR. LONG QUAN THANH NGUYEN DDS
Dentist (General Practice)
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 823-4480
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 457-6300
DR. LUIS DAVID CORTES DDS
Dentist (General Practice)
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 823-4480
DR. ELAHEH SALEHI OKA DMD
Dentist
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 823-4480
DAVID DAUB
Dentist (General Practice)
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 823-4480
DR. SCOTT AARON FLEMING DMD
Dentist
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 823-4480
DR. GUY LEAVITT DDS
Dentist (General Practice)
4309 W NOB HILL BLVD
YAKIMA, WA 98908
Yakima County (509) 823-4480

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 Kyron Larsen's NPI number?

The NPI number for Kyron Larsen is 1609448711. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Kyron Larsen located?

Kyron Larsen practices at 4309 W Nob Hill Blvd, Yakima, WA 98908. The listed phone number is (509) 823-4480.

What is Kyron Larsen's specialty?

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

Is Kyron Larsen enrolled in Medicare?

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

Which organization bills Medicare for Kyron Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyron Larsen reassigns Medicare benefits to San Carlos Apache Healthcare Corporation (Peridot, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyron Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyron Larsen accept?

Health plans from BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kyron 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 Kyron Larsen was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.