DR. JENNIFER SUE LARSON DDS
NPI 1629156500
Dentist in Boyne City, MI

Q: What is Jennifer Larson's NPI number?

The NPI number for Jennifer Larson is 1629156500. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Jennifer Larson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Larson was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 01, 2006PECOS Enrolled

216 N LAKE ST, BOYNE CITY, MI 49712(231) 582-4480(231) 582-4460 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2020, Jun 29, 2020 (2 updates tracked since 2020).

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About Dr. Jennifer Sue Larson Dds NPPES

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

DR. JENNIFER SUE LARSON DDS (NPI 1629156500) is an individual dentist in Boyne City, Michigan, licensed in Michigan (2901019425) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629156500

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JENNIFER SUE LARSONCredential: DDS

Location Address216 N LAKE STBoyne City, MI 49712-1210

Mailing Address216 N Lake StBoyne City, MI 49712-1210 · (231) 350-6747 · Fax (231) 582-4460

Phone(231) 582-4480

Fax(231) 582-4460

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1629156500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901019425

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

216 N LAKE ST, Boyne City, MI 49712

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Other Identifiers 2

Medicaid4916278MI

Other2901019425MI · State Of Michigan Board Of Dentistry

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. Jennifer Sue 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 49712 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 Jennifer Larson's NPI number?

The NPI number for Jennifer Larson is 1629156500. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jennifer Larson located?

Jennifer Larson practices at 216 N Lake St, Boyne City, MI 49712. The listed phone number is (231) 582-4480.

What is Jennifer Larson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jennifer Larson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Larson was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.