Larry Dallas Naylor, D.C.
Individual provider Active NPI Chiropractor · Trufant, MI
NPI 1336159201 · NPPES record last updated Oct 25, 2011
Key facts
- NPI
- 1336159201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- LN007256 (MI)
- Practice address
- 220 C Street
Trufant, MI 49347-0157 - Phone
- (616) 984-5200
- Fax
- (616) 984-5293
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121103000071 | MI | Practitioner - Chiropractic | 5890946628 | Practice locations: Trufant, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN007256 | MI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | LN007256 | MI | Yes |
Addresses
Primary practice location
220 C Street
Trufant, MI 49347-0157
Mailing address
PO Box 157
Trufant, MI 49347-0157
Phone (616) 984-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E95011 | Other | MI | BLUE CROSS |
| 950E950110 | Other | BCBSM PIN |
Other providers in Trufant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.