Active NPI
Jesse Larimer, D.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1205063443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60090162
- Practice address
- 2100C SE 164TH Ave
#102
Vancouver, WA 98683-4653 - Phone
- (360) 334-5051
- Fax
- (360) 553-4105
- NPI assigned
- Jun 15, 2009
- 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 | CH60090162 | WA | Primary |
Addresses
Primary practice location
2100C SE 164TH Ave
#102
Vancouver, WA 98683-4653
Mailing address
2100C SE 164TH Ave
#102
Vancouver, WA 98683-4653
Phone (360) 334-5051
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 |
|---|---|---|---|
| CH60090162 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1205063443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100C SE 164TH AVE",
"address_2": "#102",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834653",
"telephone_number": "360-334-5051",
"fax_number": "360-553-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100C SE 164TH AVE",
"address_2": "#102",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834653",
"telephone_number": "360-334-5051",
"fax_number": "360-553-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIMER",
"first_name": "JESSE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-15",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60090162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.