Active NPI
Larry Dallas Naylor, D.C.
- Chiropractor
- Trufant, MI
National Provider Identifier
1336159201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- LN007256
- Practice address
- 220 C Street
Trufant, MI 49347-0157 - Phone
- (616) 984-5200
- Fax
- (616) 984-5293
- NPI assigned
- Aug 9, 2006
- Last updated
- Oct 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | LN007256 | MI | Primary |
Addresses
Primary practice location
220 C Street
Trufant, MI 49347-0157
Mailing address
PO Box 157
Trufant, MI 49347-0157
Phone (616) 984-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121103000071 | MI | Practitioner - Chiropractic | 5890946628 | Practice locations: Trufant, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 S C St
Trufant, MI 49347-5104
Phone (616) 984-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN007256 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1336159201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "TRUFANT",
"state": "MI",
"postal_code": "493470157",
"telephone_number": "616-984-5200",
"fax_number": "616-984-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 C STREET",
"city": "TRUFANT",
"state": "MI",
"postal_code": "493470157",
"telephone_number": "616-984-5200",
"fax_number": "616-984-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "LARRY",
"middle_name": "DALLAS",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "LN007256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trufant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.