PAUL LARSEN (DDS) – Dentist, NPI 1609955798

PAUL LARSEN (DDS) is a healthcare provider. based in Mishawaka, Indiana. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 019018482 (IL). The NPI Number for PAUL LARSEN (DDS) is 1609955798

Main info

Male
Sole Proprietor
Name
PAUL LARSEN (DDS)
NPI
1609955798
Phone
(574) 271-1060
Address
165 W UNIVERSITY DR
Enumeration Date
2 November 2006
Last Update Date
9 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for PAUL LARSEN (DDS)

  • 165, West University Drive, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465451199

    Phone: (574) 271-1060

    Type: Mailing

  • 165 W University Dr

    Mishawaka, IN 465451199

    Phone: (574) 271-1060

    Type: Location

  • 1704 PATTON DR STE 1

    MAHOMET, IL 618538137

    Phone: (203) 530-3136

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Dentsply Sirona Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dentsply Sirona Inc$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-14

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46545)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for PAUL LARSEN (DDS) in the U.S.?
In the U.S., PAUL LARSEN (DDS) is identified by NPI 1609955798.
Quick check: is PAUL LARSEN (DDS) active?
Public NPPES data shows PAUL LARSEN (DDS) with an active NPI status right now.
What type of care does PAUL LARSEN (DDS) provide?
PAUL LARSEN (DDS)'s profile centers on Dentist. Clinical services aligned with this taxonomy classification.
Is PAUL LARSEN (DDS) tied to Mishawaka, Indiana?
If you are local to Mishawaka, Indiana, PAUL LARSEN (DDS) may be relevant to your search.
Can I export PAUL LARSEN (DDS)'s record?
You can download the official NPPES record; we summarize key fields for readability.