Dusty Large, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008931 Issued in GA

Practice address

4931 Riverside Dr Ste 300a
Macon, GA 31210-1168

Phone

(478) 257-6114

Fax

(478) 238-5415

NPI assigned

Jan 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larger Than Life Chiropractic

  • Chiropractor
  • Macon, GA
  • NPI 1710343447
  Medicare reassignment NPD Authorized official
• Leavengood Chiropractic, PC

  • Chiropractor
  • Warner Robins, GA
  • NPI 1164617171
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1396016648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 RIVERSIDE DR STE 300A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101168",
            "telephone_number": "478-257-6114",
            "fax_number": "478-238-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 RIVERSIDE DR STE 300A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101168",
            "telephone_number": "478-257-6114",
            "fax_number": "478-238-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGE",
        "first_name": "DUSTY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Langford Allergy LLC
• Jeffrey W. Langford, M.D.
• Miranda Langford, RBT
• Emily Langston
• Joan Allison Lanum, PSY.D.
• Larger Than Life Chiropractic
• Kaytlynn Larkin
• Larry E Landers DDS PC
• Larry M Kohse MD LLC
• Leslie Carol Larson, FNP-C

• Chiropractor in Macon, GA
• Providers in Macon, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.