Organization Active NPI

Larson Chiropractic & Acupuncture, P.C.

  • Clinic/Center
  • Lincoln, NE
National Provider Identifier
1467600510
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1204 Issued in NE
Legal business name
LARSON CHIROPRACTIC & ACUPUNCTURE, P.C.
Practice address
4910 Old Cheney Rd
1A
Lincoln, NE 68516-3107
Phone
(402) 421-1626
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Chad Eugene Larson, DC
Title
Doctor of Chiropractic
Phone
(402) 421-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1204 NE Primary

Addresses

Primary practice location

4910 Old Cheney Rd
1A
Lincoln, NE 68516-3107

Mailing address

4910 Old Cheney Rd # 1a
Lincoln, NE 68516-3107
Phone (402) 421-1626

Other identifiers 1

IdentifierTypeStateIssuer
10025472500MedicaidNE

National Provider Directory

National Provider Directory

Locations

4910 Old Cheney Rd
Unit 1A
Lincoln, NE 68516
Phone (402) 421-1626

4910 Old Cheney Rd
#1A
Lincoln, NE 68516
Phone (402) 421-1626

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1467600510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 OLD CHENEY RD # 1A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163107",
            "telephone_number": "402-421-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 OLD CHENEY RD",
            "address_2": "1A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163107",
            "telephone_number": "402-421-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON CHIROPRACTIC & ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "402-421-1621",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025472500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.