DALLIN LARSON DDS
NPI 1790288306
Dentist - Endodontics in Meridian, ID

Active since March 10, 2018PECOS Enrolled
3240 E LOUISE DR, MERIDIAN, ID 83642(208) 898-8866 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Jun 27, 2018, Mar 10, 2018 (3 updates tracked since 2018).

About Dallin Larson Dds NPPES

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

DALLIN LARSON DDS (NPI 1790288306) is an individual endodontics provider in Meridian, Idaho, licensed in Idaho (D-5309-EN) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790288306
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDALLIN LARSONCredential: DDS
Location Address3240 E LOUISE DRMeridian, ID 83642-5107
Mailing Address2289 N Montgomery AveMeridian, ID 83646-8819 · (208) 859-4112
Sole ProprietorNo
Enumeration DateMarch 10, 2018
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
NPI 1790288306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in ID · D-5309-EN
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.
3240 E LOUISE DR, Meridian, ID 83642

Accepted 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)

Dallin 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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

Dentist (Endodontics)
3240 E LOUISE DR, SUITE 110
MERIDIAN, ID 83642

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 Dallin Larson's NPI number?

The NPI number for Dallin Larson is 1790288306. It was assigned to this individual provider in the NPPES registry on March 10, 2018.

Where is Dallin Larson located?

Dallin Larson practices at 3240 E Louise Dr, Meridian, ID 83642. The listed phone number is (208) 898-8866.

What is Dallin Larson's specialty?

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

Is Dallin Larson enrolled in Medicare?

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

What insurance does Dallin 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 6 other insurers list Dallin 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 Dallin Larson was last updated on July 1, 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.