Larry F Widmer DC LLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

1406 Issued in NM

Legal business name

LARRY F WIDMER DC LLC

Practice address

1892 Plaza del Sur Dr Ste a
Santa Fe, NM 87505-6073

Phone

(505) 988-8017

Fax

(505) 988-8018

NPI assigned

Feb 22, 2015

Last updated

Feb 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry F Widmer, DCNPI 1225025463

Title

President

Phone

(717) 368-4016

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry F Widmer, DC

  • Chiropractor
  • Lancaster, PA
  • NPI 1225025463

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424563200000",
    "number": "1255723672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 PLAZA DEL SUR DR STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056073",
            "telephone_number": "505-988-8017",
            "fax_number": "505-988-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 PLAZA DEL SUR DR STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056073",
            "telephone_number": "505-988-8017",
            "fax_number": "505-988-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY F WIDMER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-22",
        "status": "A",
        "authorized_official_last_name": "WIDMER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-368-4016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NM",
            "license": "1406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "035313F70",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Walter Larose, M.A.
• Marion Lawrence Larragoite, DDS
• Patricio C Larragoite, DDS
• Andrea Larranaga-Malinowski
• Ramon A Larranaga Jr., ACT CM
• Larry L Cohen MD, PC
• Larry Rayburn Psychotherapy
• Madeleine Fisher Larsen
• Philip Reed Larsen Jr., LICSW, LCSW
• Robert Charles Larsen, MD

• Orthopedic Chiropractor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Orthopedic Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.