Active NPI
Christopher Lee Larson, DO
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1407055601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N1727
- Practice address
- 711 W 38TH St
Suite D1
Austin, TX 78705-1121 - Phone
- (512) 887-3955
- Fax
- (512) 887-3923
- NPI assigned
- Jul 17, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N1727 | TX | Primary |
Addresses
Primary practice location
711 W 38TH St
Suite D1
Austin, TX 78705-1121
Mailing address
711 W 38TH St
Suite D1
Austin, TX 78705-1121
Phone (512) 887-3955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 11, 2017 through Dec 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- christopher.larson@20323846389764.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1407055601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 38TH ST",
"address_2": "SUITE D1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051121",
"telephone_number": "512-887-3955",
"fax_number": "512-887-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 38TH ST",
"address_2": "SUITE D1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051121",
"telephone_number": "512-887-3955",
"fax_number": "512-887-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N1727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.