Active NPI
Larry D Hirschy, DC
- Chiropractor
- Chariton, IA
National Provider Identifier
1124016746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04363
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130773 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.