Michael Richard Larsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008048 Issued in PA

Practice address

201 Allegheny Ave
Coudersport, PA 16915-1501

Phone

(814) 274-9231

NPI assigned

Dec 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144383308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALLEGHENY AVE",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151501",
            "telephone_number": "814-274-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALLEGHENY AVE",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151501",
            "telephone_number": "814-274-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Kerr, PA
• Keystone Rural Health Consortia, Inc. (Central Potter Health Center)
• Ekta Khanna, M.D.
• Craig Kinney, PTA
• Dennis Albert Larkin Jr., PTA
• Haleigh Nicole Larson, BSDH, RDH, PHDHP
• Lasalle Dialysis LLC (Coudersport Home Training)
• Barbara Lawler
• Lawrence Clifton Wei, MD
• Drew Fee Levavasseur, PHARMD

• Chiropractor in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.