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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Ethan James Larson, D.M.D. M.S.

Orthodontics and Dentofacial Orthopedics Dentistry in Gilbert, AZ · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083975759

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Registry record

Entity type Individual (Type 1)
Name Dr. Ethan James Larson
Credential D.M.D. M.S.
Sex Male
Practice address Gilbert, AZ, 85295
Phone (480) 712-9595
Enumeration date May 30, 2012
Last updated in NPPES Nov 15, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License D011332 (AZ) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Ethan Larson practice?
The practice location on file with NPPES is in Gilbert, AZ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Ethan Larson?
The National Provider Identifier (NPI) for Ethan Larson is 1083975759, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-15.