Organization Active NPI

Larsen Chiropractic, PLLC

  • Chiropractor
  • Richland, WA
National Provider Identifier
1225187149
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034087 Issued in WA
Legal business name
LARSEN CHIROPRACTIC, PLLC
Practice address
507 Knight St
Suite B
Richland, WA 99352-4258
Phone
(509) 943-4919
Fax
(509) 578-1012
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian M Larsen, D.C.
Title
Chiropractor
Phone
(509) 943-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034087 WA Primary

Addresses

Primary practice location

507 Knight St
Suite B
Richland, WA 99352-4258

Mailing address

507 Knight St
Suite B
Richland, WA 99352-4258
Phone (509) 943-4919

Other identifiers 1

IdentifierTypeStateIssuer
0227613OtherWALABOR & INDUSTRIES

Other names 1

  • Brian M. Larsen, D.C. Doing business as

National Provider Directory

National Provider Directory

Locations

507 Knight St
Ste B
Richland, WA 99352
Phone (509) 943-4919

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1225187149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 KNIGHT ST",
            "address_2": "SUITE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524258",
            "telephone_number": "509-943-4919",
            "fax_number": "509-578-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 KNIGHT ST",
            "address_2": "SUITE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524258",
            "telephone_number": "509-943-4919",
            "fax_number": "509-578-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-943-4919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0227613",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian M. Larsen, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.