M. Chad Larsen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR003115 Issued in GA

Practice address

1477 US Highway 19 S
Leesburg, GA 31763-4868

Phone

(229) 436-1191

Fax

(229) 436-1140

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shaun N. Price DC, LLC

  • Chiropractor
  • Leesburg, GA
  • NPI 1588211965
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003971458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 US HIGHWAY 19 S",
            "address_2": "P O BOX 734",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634868",
            "telephone_number": "229-436-1191",
            "fax_number": "229-436-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 US HIGHWAY 19 S",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634868",
            "telephone_number": "229-436-1191",
            "fax_number": "229-436-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "M.",
        "middle_name": "CHAD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR003115",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtz Enterprise Holdings LLC
• Barry J Lalonde, RPT
• Brittany Lamar
• David Cole Landreth
• Erin Lanier
• Pamela Elaine Lassiter, M.S.
• Deirdre Mae Clairewen Lawson, M.D.
• Sabrina Lawton, RN
• Melissa Mable Laye, DPT
• Lee County Board of Education

• Chiropractor in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.