NPIMap

Organization Active NPI

Christopher R. Larson, D.C., P.a.

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1346312147
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3816 Issued in MN
Legal business name
CHRISTOPHER R. LARSON, D.C., P.A.
Practice address
669 Winnetka Ave N
Suite 202
Golden Valley, MN 55427-4574
Phone
(763) 595-9096
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher R. Larson, D.C.
Title
President
Phone
(763) 595-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3816 MN Primary

Addresses

Primary practice location

669 Winnetka Ave N
Suite 202
Golden Valley, MN 55427-4574

Mailing address

20843 Granada Avenue CT N
Forest Lake, MN 55025-8151
Phone (651) 270-8427

Other names 1

  • Back In Shape Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1346312147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20843 GRANADA AVENUE CT N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258151",
            "telephone_number": "651-270-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 WINNETKA AVE N",
            "address_2": "SUITE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274574",
            "telephone_number": "763-595-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER R. LARSON, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-595-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Shape Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.