Stanley Glenn Larson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5052470-1202 Issued in UT

Practice address

3898 W. 13400 So.
Suite B.
Riverton, UT 84065-6038

Phone

(801) 302-0660

Fax

(801) 302-2239

NPI assigned

Aug 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1194917898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 E SEGO LILY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924330",
            "telephone_number": "307-277-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 W. 13400 SO.",
            "address_2": "SUITE B.",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656038",
            "telephone_number": "801-302-0660",
            "fax_number": "801-302-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "STANLEY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5052470-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.C.",
            "identifier": "5052470-1202",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Langworthy, S.S.W.
• Brendon Larimore
• Angelique Rosemary Larrabee
• Myra Rochelle Larsen, LCSW
• Sandra Larson
• Hannah Latimer, CSW
• Jaricka Blundell Lau, APRN
• Ashlie Lawson
• LDS Family Services
• Learning Services Corporation

• Chiropractor in Riverton, UT
• Providers in Riverton, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.