Active NPI
James Wade Larson, D.C.
- Chiropractor
- Show Low, AZ
National Provider Identifier
1194882043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AZ535
- Practice address
- 280 N White Mountain Rd
Show Low, AZ 85901-5273 - Phone
- (928) 532-0999
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AZ535 | AZ | Primary |
Addresses
Primary practice location
280 N White Mountain Rd
Show Low, AZ 85901-5273
Mailing address
PO Box 3323
Show Low, AZ 85902-3323
Phone (928) 532-0999
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
| License | State | Type | Specialty |
|---|---|---|---|
| AZ535 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1194882043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3323",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859023323",
"telephone_number": "928-532-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N WHITE MOUNTAIN RD",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859015273",
"telephone_number": "928-532-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "JAMES",
"middle_name": "WADE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "AZ535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.