Individual provider Active NPI

Larry Lee Estebo, D.C.

  • Orthopedic Chiropractor
  • Falcon Heights, MN
National Provider Identifier
1285766352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1948 Issued in MN
Practice address
1545 Larpenteur Ave W
Falcon Heights, MN 55113-6316
Phone
(651) 487-2198
Fax
(651) 646-0283
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1948 MN Primary

Addresses

Primary practice location

1545 Larpenteur Ave W
Falcon Heights, MN 55113-6316

Mailing address

1545 Larpenteur Ave W
Falcon Heights, MN 55113-6316
Phone (651) 487-2198

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health 1St Chiropractic and Wellness Center, P.C. Orthopedic CurrentSince Jun 16, 2014 Accepting new patients
Back to Health Chiropractic, PA CurrentSince Aug 5, 2026 Accepting new patients
Midway Chiropractic and Health Services PA CurrentSince Oct 4, 2007 Accepting new patients
Premier Health of South Minneapolis LTD PastSince Jul 24, 2007 Accepting new patients
Premier Health of Plymouth LTD PastSince Nov 1, 2011 Accepting new patients
Riverview Spine, P.a. PastSince Apr 30, 2003 Accepting new patients
Morlock Chiropractic Center LTD PastSince Feb 1, 2023 Accepting new patients

Locations

10607 France Ave S
Minneapolis, MN 55431
Phone (952) 881-5703

Organizations & group practices 7

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285766352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136316",
            "telephone_number": "651-487-2198",
            "fax_number": "651-646-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136316",
            "telephone_number": "651-487-2198",
            "fax_number": "651-646-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEBO",
        "first_name": "LARRY",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MN",
            "license": "1948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.