Individual provider Active NPI

Larissa Michelle Juren, D.C.

  • Chiropractor
National Provider Identifier
1194056861
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009999 Issued in MI
Practice address
190 Horse Lake Rd
100 Mile House, BC V0K 2E0
CA
Phone
(250) 395-3000
Fax
(250) 395-3055
NPI assigned
Jan 20, 2010
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009999 MI Primary

Addresses

Primary practice location

190 Horse Lake Rd
100 Mile House, BC V0K 2E0
CA

Mailing address

190 Horse Lake Rd
PO Box 1720
100 Mile House, BC V0K 2E0
CA
Phone (250) 395-3000

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
001830CTMDMarriage & Family Therapist
2301009999MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Precision Health PLLC Past Accepting new patients
Greenwich Sports Medicine PC Chiropractor PastSince Aug 14, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1194056861",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "190 HORSE LAKE RD",
            "address_2": "PO BOX 1720",
            "city": "100 MILE HOUSE",
            "state": "BC",
            "postal_code": "V0K 2E0",
            "telephone_number": "250-395-3000",
            "fax_number": "250-395-3055"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "190 HORSE LAKE RD",
            "city": "100 MILE HOUSE",
            "state": "BC",
            "postal_code": "V0K 2E0",
            "telephone_number": "250-395-3000",
            "fax_number": "250-395-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUREN",
        "first_name": "LARISSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.