Active NPI
Glenn R Larsen, DC
- Chiropractor
- Dunedin, FL
National Provider Identifier
1215184262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30811
- Practice address
- 2323 Curlew Road
Suite 7E
Dunedin, FL 34698 - Phone
- (727) 600-8024
- NPI assigned
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 30811 | CA | Primary |
Addresses
Primary practice location
2323 Curlew Road
Suite 7E
Dunedin, FL 34698
Mailing address
PO Box 67012
St Petersburg, FL 33736
Phone (718) 877-5409
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1215184262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67012",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33736",
"telephone_number": "718-877-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 CURLEW ROAD",
"address_2": "SUITE 7E",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "34698",
"telephone_number": "727-600-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "GLENN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.