Active NPI
Mark James Larsen
- Acupuncturist
- Anchorage, AK
National Provider Identifier
1194363754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 3330 Eagle St
Anchorage, AK 99503-4146 - Phone
- (907) 561-1282
- NPI assigned
- Dec 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
3330 Eagle St
Anchorage, AK 99503-4146
Mailing address
3628 Knik Ave
Anchorage, AK 99517-1044
Phone (907) 632-8789
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Anchorage |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1194363754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3628 KNIK AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995171044",
"telephone_number": "907-632-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 EAGLE ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034146",
"telephone_number": "907-561-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "MARK",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Anchorage",
"affiliation": "N",
"address_1": "3330 Eagle St",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995034146",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.