Individual provider Active NPI

Larry D Hirschy, DC

  • Chiropractor
  • Chariton, IA
National Provider Identifier
1124016746
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04363 Issued in IA
Practice address
801 Linden Ave
Chariton, IA 50049-1835
Phone
(641) 774-9018
Fax
(641) 774-7570
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04363 IA Primary
Orthopedic Chiropractor 111NX0800X 04363 IA

Addresses

Primary practice location

801 Linden Ave
Chariton, IA 50049-1835

Mailing address

801 Linden Ave
Chariton, IA 50049-1835
Phone (641) 774-4018

Other identifiers 1

IdentifierTypeStateIssuer
0130773MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000371 IA Practitioner - Chiropractic 1658336235 Practice locations: Chariton, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 Linden Ave
Chariton, IA 50049-1835
Phone (641) 774-4018

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1124016746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LINDEN AVE",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491835",
            "telephone_number": "641-774-4018",
            "fax_number": "641-774-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LINDEN AVE",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491835",
            "telephone_number": "641-774-9018",
            "fax_number": "641-774-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHY",
        "first_name": "LARRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04363",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IA",
            "license": "04363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130773",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chariton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.