Lake Havasu Orthodontics LLC
NPI 1225759111 · Orthodontics and Dentofacial Orthopedics Dentistry · Lake Havasu City, AZ
Lake Havasu Orthodontics LLC is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Lake Havasu City, AZ (NPI 1225759111).
Provider details
- NPI number
- 1225759111
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ethan Larson, Doctor/Owner(253) 283-2747
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-08
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Frequently asked questions
- What is Lake Havasu Orthodontics LLC's NPI number?
- Lake Havasu Orthodontics LLC's National Provider Identifier (NPI) is 1225759111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Havasu Orthodontics LLC?
- Lake Havasu Orthodontics LLC is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Lake Havasu Orthodontics LLC located?
- Lake Havasu Orthodontics LLC's practice location on file with NPPES is 2061 Smoketree Ave N, Lake Havasu City, AZ 86403-5811.
- What is Lake Havasu Orthodontics LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Havasu Orthodontics LLC is (928) 854-4141.
- Who is the authorized official for Lake Havasu Orthodontics LLC?
- The authorized official listed on Lake Havasu Orthodontics LLC's NPPES record is Ethan Larson, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Havasu Orthodontics LLC's NPI active?
- Yes — Lake Havasu Orthodontics LLC's NPI (1225759111) is active in the NPPES registry as of the last update on 2022-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.