Larry Dean Vincent, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4554 Issued in KY

Practice address

302 Medical PLZ
Greenville, KY 42345-1220

Phone

(270) 338-3348

Fax

(270) 338-3992

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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 KY

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vincent Chiropractic, PLLC

  • Chiropractor
  • Morgantown, KY
  • NPI 1821143579
  NPD (past) Authorized official
• Lesley Shure, MD, PLLC

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1548283401
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326149394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PLZ",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451220",
            "telephone_number": "270-338-3348",
            "fax_number": "270-338-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PLZ",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451220",
            "telephone_number": "270-338-3348",
            "fax_number": "270-338-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "LARRY",
        "middle_name": "DEAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000123",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Oller Anesthesia Services, PLLC
• John J Tomasic, APRN
• Aric Stephen Trent, REGISTERED DIETITIAN
• Mary Benson Turner, MA
• Donald Vannatta, LCSW
• William Kelly Vincent, MD, FASAM
• Walgreen Co (Walgreens #17956)
• Katie W. Watkins
• Danny Lou Weller, C.R.N.A.
• Felicia Wells

• Chiropractor in Greenville, KY
• Providers in Greenville, KY by specialty
• Chiropractor in Kentucky

• 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.
• 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.