John W Larson, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

3500 Issued in MN

Practice address

1740 Weir Dr
Suite 24
Woodbury, MN 55125-2282

Phone

(651) 232-6830

Fax

(651) 702-2636

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Choices LLCGroup PAC ID 8123382181, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Healing Choices LLC

  • Clinic/Center
  • Elk River, MN
  • NPI 1275705758
  Medicare reassignment Care Compare group NPD Authorized official
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1285642975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18140 ANE STREET NW",
            "address_2": "SUITE 303",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "55330",
            "telephone_number": "763-241-5436",
            "fax_number": "763-241-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 WEIR DR",
            "address_2": "SUITE 24",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252282",
            "telephone_number": "651-232-6830",
            "fax_number": "651-702-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "132MOHE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Larsen, ATR, PTA, CSCS
• Alison A Larson
• Corey M Larson, PT, DPT, ATC, CSCS
• Eric Thomas Larson, CRNA
• Jill Kristine Larson
• Megan Lawler McNeil Larson, DPT, OCS
• Sheila Larson
• Caitlyn Lascala
• Emily Ann Laska, PA-C
• Cory Lau

• Nutrition Chiropractor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Nutrition Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.