Individual provider Active NPI

Neils Larson, D.C.

  • Chiropractor
  • Santa Barbara, CA
National Provider Identifier
1114393584
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33366 Issued in CA
Practice address
5350 Hollister Ave Ste A3
Santa Barbara, CA 93111-2326
Phone
(805) 681-7322
Fax
(805) 681-5072
NPI assigned
Aug 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33366 CA Primary

Addresses

Primary practice location

5350 Hollister Ave Ste A3
Santa Barbara, CA 93111-2326

Mailing address

5350 Hollister Ave Ste A3
Santa Barbara, CA 93111-2326
Phone (805) 681-7322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914003064 CA Practitioner - Chiropractic 0446567010 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5266 Hollister Ave
Suite 101
Santa Barbara, CA 93111-2066
Phone (805) 681-7322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1114393584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 HOLLISTER AVE STE A3",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112326",
            "telephone_number": "805-681-7322",
            "fax_number": "805-681-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 HOLLISTER AVE STE A3",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112326",
            "telephone_number": "805-681-7322",
            "fax_number": "805-681-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "NEILS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.