Active NPI
Charley Ann Larson, D.C.
- Chiropractor
- Britton, SD
National Provider Identifier
1306081500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1169
- Practice address
- 754 Main St
Britton, SD 57430-0715 - Phone
- (605) 448-2499
- NPI assigned
- Dec 3, 2008
- Last updated
- Jul 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3940 | OH | |
| Chiropractor | 111N00000X | 1169 | SD | Primary |
Addresses
Primary practice location
754 Main St
Britton, SD 57430-0715
Mailing address
PO Box 715
Britton, SD 57430-0715
Other names 1
- Miss Charley Ann Foltz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3940 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Health Chiropractic Prof. LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Britton, SD
- NPI 1790090702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1306081500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715",
"city": "BRITTON",
"state": "SD",
"postal_code": "574300715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 MAIN ST",
"city": "BRITTON",
"state": "SD",
"postal_code": "574300715",
"telephone_number": "605-448-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CHARLEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3940",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLEY",
"last_name": "FOLTZ",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Britton, SD
- Casey Darling, DPT
- Cristy Marie Davidson, OTR/L
- Day Family Dentistry, LLC
- Empres at Britton, LLC
- Samantha Greenfield, OTR/L
- Marshall County Healthcare Center
- Marshall County Memorial Hospital (Marshall County Healthcare Center)
- Marshall County Memorial Hospital (Marshall County Healthcare Center)
- Marshall County Memorial Hospital (Marshall County Healthcare Center)
- Marshall County Memorial Hospital (Marshall County Medical CLinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.