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DR. BRENT A. LARSON D.D.S.
NPI 1891829941
Dentist - General Practice in Salt Lake City, UT

Active since March 14, 2007PECOS Enrolled
928 E 100 S, STE #A, SALT LAKE CITY, UT 84102(801) 355-5558(801) 322-0629 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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

DR. BRENT A. LARSON D.D.S. (NPI 1891829941) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (139116-9922) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891829941
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRENT A. LARSONCredential: D.D.S.
Location Address928 E 100 S, STE #ASalt Lake City, UT 84102-1455
Mailing Address928 E 100 S, Ste #aSalt Lake City, UT 84102-1455 · (801) 355-5558 · Fax (801) 322-0629
Phone(801) 355-5558
Fax(801) 322-0629
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateOctober 22, 2023
NPPES CertifiedOctober 22, 2023
✔ NPI 1891829941 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 · 139116-9922
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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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)

Dr. Brent 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. ERIC A. LARSON D.D.S.
Dentist (General Practice)
928 E 100 S, STE #B
SALT LAKE CITY, UT 84102
Salt Lake County (801) 355-4733
DR. TIMOTHY SEARS EVANS DDS
Dentist
928 E 100 S, SUITE E
SALT LAKE CITY, UT 84102
Salt Lake County (801) 355-5657
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 Brent Larson's NPI number?

The NPI number for Brent Larson is 1891829941. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Brent Larson located?

Brent Larson practices at 928 E 100 S Ste #a, Salt Lake City, UT 84102. The listed phone number is (801) 355-5558.

What is Brent Larson's specialty?

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

Is Brent Larson enrolled in Medicare?

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

What insurance does Brent 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, BridgeSpan Health Company and Delta Dental PPO and 2 other insurers list Brent 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 Brent Larson was last updated on October 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.