Individual provider Active NPI

Larry G Brown, DC

  • Chiropractor
  • Washington, DC
National Provider Identifier
1144312976
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14656 Issued in DC
Practice address
4530 Connecticut Ave NW
Suite 101
Washington, DC 20008-4309
Phone
(202) 244-4444
Fax
(202) 244-4439
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14656 DC Primary

Addresses

Primary practice location

4530 Connecticut Ave NW
Suite 101
Washington, DC 20008-4309

Mailing address

4530 Connecticut Ave NW
Suite 101
Washington, DC 20008-4309
Phone (202) 244-4444

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
CH14656DCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mirando Associates PLLC Chiropractor PastSince Jul 8, 1992 Accepting new patients

Organizations & group practices 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1144312976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 CONNECTICUT AVE NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084309",
            "telephone_number": "202-244-4444",
            "fax_number": "202-244-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 CONNECTICUT AVE NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084309",
            "telephone_number": "202-244-4444",
            "fax_number": "202-244-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LARRY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH14656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.