Active NPI
Larry Allen Finch, D.C.
- Chiropractor
- Kingman, AZ
National Provider Identifier
1053378042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0959
- Practice address
- 115 Tucker St
Kingman, AZ 86401 - Phone
- (928) 753-6937
- Fax
- (928) 753-6937
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0959 | AZ | Primary |
| Sports Physician Chiropractor | 111NS0005X | 1386 | AZ |
Addresses
Primary practice location
115 Tucker St
Kingman, AZ 86401
Mailing address
115 Tucker St
Kingman, AZ 86401
Phone (928) 753-6937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0085720 | Other | AZ | BLUE CROSS ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051201000177 | AZ | Practitioner - Chiropractic | 2466472733 | Practice locations: Kingman, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Tucker St
Kingman, AZ 86401-4260
Phone (928) 753-6937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1386 | AZ | MD | Sports Physician Chiropractor |
| 0959 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1053378042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TUCKER ST",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "86401",
"telephone_number": "928-753-6937",
"fax_number": "928-753-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TUCKER ST",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "86401",
"telephone_number": "928-753-6937",
"fax_number": "928-753-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCH",
"first_name": "LARRY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "0959",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "1386",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID #",
"identifier": "AZ0085720",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.