LARSON FOOT CLINIC P.C. NPI 1053522888

NPI Information

  • NPI: 1053522888
  • Provider Name: LARSON FOOT CLINIC, P.C.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 2821 S 87TH AVE
    OMAHA, NE
    ZIP 68124
  • Phone: (402) 391-0960

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NPI Details

LARSON FOOT CLINIC, P.C. is a podiatrist in Omaha, NE. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LARSON FOOT CLINIC, P.C. NPI is 1053522888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2821 S 87TH AVE
OMAHA, NE
ZIP 68124-046
Phone: (402) 391-0960
Fax: (402) 391-1463

The provider's authorized official is Thomas Jennings Larson .
The authorized official title is President, Podiatrist and has the following contact phone number (402) 391-0960.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist157NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T71378MEDICARE UPINNEBRASKA
2=========00MEDICAIDNEBRASKA
3091202MEDICARE PINNEBRASKA
44912550001MEDICARE NSCNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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