Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dustin Larsen

Individual provider Dermatology Physician · NPI 1699194530

Dustin Larsen is a Dermatology in Coeur D Alene, Idaho. Qualified in 2014, 12 years ago. Practices with Skin Surgery Center PA, a 71-clinician group and accepts Medicare assignment. Licensed in Idaho and North Carolina.

Years since qualifying
12
Licensed in
ID, NC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2199 N Merrit Crk Loop
Coeur D Alene, ID 83814-4949
Phone: (208) 665-7546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2023-01420 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence M-13761 (ID)

Record details

NPI number1699194530
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2014
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Skin Surgery Center Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene