Larry Robert Vance, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

363734-1202 Issued in UT

Practice address

4646 Highland Dr
St 101
Salt Lake City, UT 84117-5135

Phone

(801) 277-5665

Fax

(801) 277-5666

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Highland Chiropractic Clinic, Inc.

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1821266784
  Medicare reassignment NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1053444836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 HIGHLAND DR",
            "address_2": "ST 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175135",
            "telephone_number": "801-277-5665",
            "fax_number": "801-277-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 HIGHLAND DR",
            "address_2": "ST 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175135",
            "telephone_number": "801-277-5665",
            "fax_number": "801-277-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "LARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "363734-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Leland Vanalfen, DDS
• Camille Vanarsdol, PHARM D
• Jeffrey R Vanblarcom, M.D.
• Colten Vancampen
• Devin Vance, MFP
• Tyra Mae Vance
• Elise-Marie Sabine Vandamme
• Matthew Vandenberg, CPHT
• Jed B Vandenberghe, MD
• Isabel Vander Hyde, OTR/L

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.

Verify at the official NPI Registry.