Ivan M. Larsen, D.M.D
NPI 1285185355ActiveIndividual· Dentist, Endodontics· Jefferson City, MO
Dentist, Endodontics (D.M.D) in Jefferson City, Missouri, licensed in MO and ID, with an NPI issued in October 2016. Part D covered 24 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1285185355 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D |
| Sole proprietor | No |
| NPI issued | Oct 24, 2016 |
| Last updated in NPPES | Sep 28, 2022 |
| Certified by provider | Sep 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 2019008323 | MO |
| Dentist | 122300000X | D-4797 | ID |
| Dentist | 122300000X | 2019008323 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (ID) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $96.54 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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