Active NPI
Larissa Alexandra McMahon, D.C.
- Chiropractor
- Commerce Township, MI
National Provider Identifier
1295843571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008198
- Practice address
- 3355 Union Lake Rd
Commerce Township, MI 48382-4551 - Phone
- (248) 242-2123
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008198 | MI | Primary |
Addresses
Primary practice location
3355 Union Lake Rd
Commerce Township, MI 48382-4551
Mailing address
39525 W 14 Mile Rd
Ste 100
Novi, MI 48377-1635
Phone (248) 242-2123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950F33490 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 Redfield PLZ
Marshall, MI 49068-1466
Phone (269) 781-7945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Way of Life Chiropractic PS | Chiropractor | Past | Accepting new patients |
| Chiropractic Care Center Inc. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Commerce Township, MI
- NPI 1235211426
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- NPI 1053455618
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- NPI 1366658890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1295843571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39525 W 14 MILE RD",
"address_2": "STE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483771635",
"telephone_number": "248-242-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 UNION LAKE RD",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483824551",
"telephone_number": "248-242-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "LARISSA",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950F33490",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.