Kristofer Daniel Larson, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

435 Issued in AK

Practice address

1001 E Bogard Rd
Wasilla, AK 99654

Phone

(907) 376-2225

Fax

(907) 376-9225

NPI assigned

Nov 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Western States College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larson Chiropractic, LLCGroup PAC ID 7810161858, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Larson Chiropractic, LLC

  • Sports Physician Chiropractor
  • Wasilla, AK
  • NPI 1801176672
  Medicare reassignment Care Compare group NPD Authorized official
• Back in Action Physical Therapy, LLC

  • Physical Therapist
  • Wasilla, AK
  • NPI 1356621395
  NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1417029976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-376-2225",
            "fax_number": "907-376-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-376-2225",
            "fax_number": "907-376-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KRISTOFER",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AK",
            "license": "435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0070",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Zola Larsen, PTA
• Rachel Michelle Larsen
• Larson Chiropractic, LLC
• Daniel Werner Larson, DC
• Kirsten D Larson, ANP
• Laura Denise Larson, PMHNP-BC
• Megan Joelle Larson, PA-C
• Charlene Lasiter
• Mackenzie E Lasnek, PHARMD
• Michelle Latham, LMT

• Sports Physician Chiropractor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Sports Physician Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.
• 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.