Individual provider Active NPI

Gregory L Larivee, DC

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1104834803
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8805 Issued in FL
Practice address
920 W Indiantown Rd
Suite 107
Jupiter, FL 33458-6847
Phone
(561) 747-7707
Fax
(561) 748-5502
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8805 FL Primary

Addresses

Primary practice location

920 W Indiantown Rd
Suite 107
Jupiter, FL 33458-6847

Mailing address

920 W Indiantown Rd
Suite 107
Jupiter, FL 33458-6847
Phone (561) 747-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8805FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Center of Jupiter, PA Chiropractor Past Accepting new patients
Integrated Medical Center of Palm Beach PastSince Mar 31, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1104834803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W INDIANTOWN RD",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586847",
            "telephone_number": "561-747-7707",
            "fax_number": "561-748-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W INDIANTOWN RD",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586847",
            "telephone_number": "561-747-7707",
            "fax_number": "561-748-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVEE",
        "first_name": "GREGORY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.