Doctor profile · Federal record

Dr. PAUL LARSEN, DDS

Dentist · Dentist · MAHOMET, IL

  • NPI 1609955798
  • 20 yrs on file
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1704 PATTON DR STE 1
MAHOMET, IL 618538137
(203) 530-3136
Additional location
165 W University Dr
Mishawaka, IN 465451199
(574) 271-1060
Mailing address
165 W UNIVERSITY DR
MISHAWAKA, IN 465451199

Credentials & registration

NPPES · NUCC
NPI registered
November 2006 — 20 yrs on file
Profile last updated
January 9, 2026
Specialty taxonomy
122300000X — NUCC code
State licenses (2)
Illinois #019018482 · Indiana #12008917A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609955798. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Dentsply Sirona Inc 1 $15.31

By nature of payment

Food and Beverage
$15

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
21
Patients
17
Total drug cost
$64
Drug Type Claims Patients Total cost
Amoxicillin Generic 21 17 $64

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›