Individual provider Active NPI

Katie Larson

  • Orthopedic Chiropractor
  • Cloquet, MN
National Provider Identifier
1265930325
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
6471 Issued in MN
Practice address
123 Avenue C
Cloquet, MN 55720
Phone
(218) 879-1556
NPI assigned
Jan 24, 2018
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 6471 MN Primary

Addresses

Primary practice location

123 Avenue C
Cloquet, MN 55720

Mailing address

123 Avenue C
Cloquet, MN 55720-1563
Phone (218) 879-1556

Other practice location 1

123 Avenue C
Cloquet, MN 55720
Phone (218) 879-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000938 MN Practitioner - Chiropractic 2466884663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leno Chiropractic Clinic LTDGroup PAC ID 0648454744, 2 clinicians

Practice addresses (Care Compare)

123 Ave C
Cloquet, MN 55720-1563
Phone (218) 879-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6471MNMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leno Chiropractic Clinic LTD Chiropractor CurrentSince Nov 1, 2019 Accepting new patients
Healthways Integrative Medicine PC PastSince Jul 31, 2023 Accepting new patients
Natural Touch Chiropractic, PLLC Chiropractor Past Accepting new patients

Locations

123 Avenue C
Cloquet, MN 55720
Phone (218) 310-4271

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1265930325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201563",
            "telephone_number": "218-879-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "218-879-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Avenue C",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "55720",
            "country_code": "US",
            "telephone_number": "218-879-1556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MN",
            "license": "6471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.