Organization Active NPI

Richard Larson Chiropractic, LLC

  • Chiropractor
  • Plymouth, MN
National Provider Identifier
1043454705
Registry record updated Apr 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5059 Issued in MN
Legal business name
RICHARD LARSON CHIROPRACTIC, LLC
Practice address
1115 Vicksburg LN N
Suite 20
Plymouth, MN 55447-3215
Phone
(763) 473-1299
NPI assigned
Apr 26, 2009
Last updated
Apr 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2009

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

Authorized official

Name
Dr. Richard Thomas Larson II, D.C.NPI 1285810739
Title
Owner
Phone
(763) 473-1299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5059 MN Primary

Addresses

Primary practice location

1115 Vicksburg LN N
Suite 20
Plymouth, MN 55447-3215

Mailing address

1115 Vicksburg LN N
Suite 20
Plymouth, MN 55447-3215
Phone (763) 473-1299

National Provider Directory

National Provider Directory

Locations

1115 Vicksburg Ln N
Ste 20
Plymouth, MN 55447
Phone (763) 473-1299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240704000000",
    "number": "1043454705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 VICKSBURG LN N",
            "address_2": "SUITE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554473215",
            "telephone_number": "763-473-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 VICKSBURG LN N",
            "address_2": "SUITE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554473215",
            "telephone_number": "763-473-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LARSON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-26",
        "last_updated": "2009-04-26",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-473-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2009; 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.