NPI age
12 years
Enumerated 2014-04-08
● Active
Type 1 · Individual
Dustin Larsen
Larsen is 1 of 8 dermatology providers in Coeur D Alene and 1 of 102 in Idaho.
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
NC, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 102 active dermatology providers in Idaho.
NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Practice location
2199 N Merrit Crk Loop
Coeur D Alene, ID 838144949
Mailing address
1899 Tate Blvd Se # 2110
Hickory, NC 286024200
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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