Organization Active NPI

Dr Daniel W Larson PC

Doing business as 1 Larson Chiropractic 2 Back in Action Physical Rehabilitation Center

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1043388838
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR DANIEL W LARSON PC
Doing business as
1 Larson Chiropractic 2 Back in Action Physical Rehabilitation Center
Practice address
1001 E Bogard Rd
Wasilla, AK 99654-7114
Phone
(907) 376-2225
Fax
(907) 376-9225
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Daniel Werner Larson, DC CCSP ACRB REGISTR
Title
Owner
Phone
(907) 376-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1001 E Bogard Rd
Wasilla, AK 99654-7114

Mailing address

1001 E Bogard Rd
Wasilla, AK 99654-7114
Phone (907) 376-2225

Other names 1

  • 1 Larson Chiropractic 2 Back in Action Physical Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

1001 E Bogard Rd
Wasilla, AK 99654
Phone (907) 373-7246

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1043388838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547114",
            "telephone_number": "907-376-2225",
            "fax_number": "907-376-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547114",
            "telephone_number": "907-376-2225",
            "fax_number": "907-376-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL W LARSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WERNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CCSP ACRB REGISTR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1 Larson Chiropractic 2 Back in Action Physical Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.